Provider Demographics
NPI:1982040572
Name:MONZINGO, JAMIE E (AUD)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:E
Last Name:MONZINGO
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 1:2295 HENRY TECKLENBURG DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-7801
Mailing Address - Country:US
Mailing Address - Phone:843-766-7103
Mailing Address - Fax:803-457-8129
Practice Address - Street 1:200 ARBOR LAKE DR STE 120
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-4516
Practice Address - Country:US
Practice Address - Phone:803-457-8120
Practice Address - Fax:803-457-8129
Is Sole Proprietor?:No
Enumeration Date:2013-05-22
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4084231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist