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NPI Code Detail

MEDICARE: CARMEN QUENZER PSY.D.

MEDICARE:   CARMEN  QUENZER  PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist2006034598MO

General Provider Information

NPI Number : 1467649954
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN QUENZER PSY.D.
Provider Business Mailing Address
First Line : 7135 PERSHING AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63130-4322
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7135 PERSHING AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63130-4322
Country : US
Telephone Number : 314-335-7309
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2007
Last Update Date : 09/27/2007

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Directions to “ CARMEN QUENZER PSY.D.” Practice Location

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