Provider Demographics
NPI:1679044697
Name:PARKER-STENZEL, TERESA (SPEECH-LANGUAGE PATH)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:PARKER-STENZEL
Suffix:
Gender:F
Credentials:SPEECH-LANGUAGE PATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 4TH ST. N. FARGO PUBLIC SCHOOLS
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58102
Mailing Address - Country:US
Mailing Address - Phone:701-446-5744
Mailing Address - Fax:701-446-1200
Practice Address - Street 1:415 4TH ST. N. FARGO PUBLIC SCHOOLS
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58102
Practice Address - Country:US
Practice Address - Phone:701-446-5744
Practice Address - Fax:701-446-1200
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1686235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist