Provider Demographics
NPI:1285360032
Name:TENGLER, WINDY DAVIDSON (CCC-SLP)
Entity type:Individual
Prefix:
First Name:WINDY
Middle Name:DAVIDSON
Last Name:TENGLER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5602 PRESIDIO PKWY APT 2119
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3095
Mailing Address - Country:US
Mailing Address - Phone:432-559-5130
Mailing Address - Fax:
Practice Address - Street 1:5602 PRESIDIO PKWY APT 2119
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3095
Practice Address - Country:US
Practice Address - Phone:210-413-1447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117259235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist