Most Relevant Information
Provider Data
| NPI Number: | 1003427303 |
| Provider Name: | AUDREY QUENZER MS CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SLP-4717 |
Most Important Dates
| Enumeration Date: | 08/11/2020 |
| Last Updated: | 09/28/2023 |
Provider Practice Location
207 W GEORGIA AVE STE 170
NAMPA
ID
836863024
Practice Location Phone/Fax
| Phone: | 2084671069 |
| Fax: | 2084671462 |
Provider Mailing Location
207 W GEORGIA AVE STE 170
NAMPA
ID
836863024
Provider Mailing Phone/Fax
| Phone: | 2084671069 |
| Fax: | 2084671462 |