Provider Demographics
NPI:1629484787
Name:JAMIS, CARMEN (AUD)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:
Last Name:JAMIS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6202 ALDER ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-5240
Mailing Address - Country:US
Mailing Address - Phone:412-924-1012
Mailing Address - Fax:
Practice Address - Street 1:6202 ALDER ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-5240
Practice Address - Country:US
Practice Address - Phone:412-924-1012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006352231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist