Provider Demographics
NPI:1942469879
Name:ZAMPOGNA, JACQUELYN GIA (MA)
Entity Type:Individual
Prefix:MISS
First Name:JACQUELYN
Middle Name:GIA
Last Name:ZAMPOGNA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CORPORATE CIR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-8027
Mailing Address - Country:US
Mailing Address - Phone:724-850-7300
Mailing Address - Fax:724-850-7778
Practice Address - Street 1:1 CORPORATE CIR
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-8027
Practice Address - Country:US
Practice Address - Phone:724-850-7300
Practice Address - Fax:724-850-7778
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health