Provider Demographics
NPI:1841504305
Name:SWINDLER, JENNIE R
Entity type:Individual
Prefix:
First Name:JENNIE
Middle Name:R
Last Name:SWINDLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 TORREYGLEN DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-8057
Mailing Address - Country:US
Mailing Address - Phone:803-463-6465
Mailing Address - Fax:
Practice Address - Street 1:120 TORREYGLEN DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-8057
Practice Address - Country:US
Practice Address - Phone:803-463-6465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC799235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist