Provider Demographics
NPI:1821250465
Name:TSCHOEPE, TINA GONZALES (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TINA
Middle Name:GONZALES
Last Name:TSCHOEPE
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Gender:F
Credentials:MS, CCC-SLP
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Mailing Address - Street 1:15316 HUEBNER RD
Mailing Address - Street 2:202
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-0987
Mailing Address - Country:US
Mailing Address - Phone:210-614-4567
Mailing Address - Fax:210-614-4999
Practice Address - Street 1:15316 HUEBNER RD
Practice Address - Street 2:202
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-0987
Practice Address - Country:US
Practice Address - Phone:210-614-4567
Practice Address - Fax:210-614-4999
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX17986235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist