Individual
MRS. JAN P MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED CCC SLP
Contact information
Practice address
301 OAKBROOK LANE, SUITE 335, SUMMERVILLE, SC 29485
(843) 832-1795
(843) 832-9499
Mailing address
229 SCALYBARK RD, SUMMERVILLE, SC 29485
(843) 832-0879
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3738
SC
235Z00000X
Speech-Language Pathologist
SP403
HI
235Z00000X
Speech-Language Pathologist
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01096055
ASHA
VA
Enumeration date
06/27/2006
Last updated
07/08/2007
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