Provider Demographics
NPI:1710558192
Name:WENGLER, ANN KAUFER (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:KAUFER
Last Name:WENGLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 DAVID DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45056-2519
Mailing Address - Country:US
Mailing Address - Phone:513-255-5171
Mailing Address - Fax:
Practice Address - Street 1:610 DAVID DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-2519
Practice Address - Country:US
Practice Address - Phone:513-255-5171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3685103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities