Individual
RACHEL MARIE QUAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
412 7TH ST NE, DEVILS LAKE, ND 58301-2530
(701) 347-1188
(701) 401-5154
Mailing address
412 7TH ST NE, DEVILS LAKE, ND 58301-2530
(701) 347-1188
(701) 402-5154
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
742
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459138
—
ND
Enumeration date
01/11/2007
Last updated
07/18/2023
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