Healthcare Provider Details

I. General information

NPI: 1194592501
Provider Name (Legal Business Name): SPEAKSTRONG THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2023
Last Update Date: 12/06/2023
Certification Date: 12/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 7TH ST NE
DEVILS LAKE ND
58301-2530
US

IV. Provider business mailing address

412 7TH ST NE
DEVILS LAKE ND
58301-2530
US

V. Phone/Fax

Practice location:
  • Phone: 701-347-1188
  • Fax: 701-402-5154
Mailing address:
  • Phone: 701-347-1188
  • Fax: 701-402-5154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: RACHEL MARIE QUAM
Title or Position: OWNER/SLP
Credential: MS., CCC-SLP
Phone: 701-347-1188