MEDICARE: ANN TENGLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TS0200X	School Psychologist

General Provider Information

NPI Number	:	1396296349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN TENGLER

Provider Business Mailing Address
First Line	:	6370 WAVERLY HILL LN
Second Line	:
City	:	LOVELAND
State	:	OH
Zip	:	45140-8007
Country	:	US
Telephone Number	:	859-802-8240
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 BARTELS RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45244-4009
Country	:	US
Telephone Number	:	513-232-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2016
Last Update Date	:	10/14/2016

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Directions to “ ANN TENGLER ” Practice Location

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