Provider Demographics
NPI:1255589008
Name:WINDERWEEDLE WALL, JAMIE LYNN (AUD, CCC/A)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:LYNN
Last Name:WINDERWEEDLE WALL
Suffix:
Gender:F
Credentials:AUD, CCC/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10740 N GESSNER RD STE 310
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1240
Mailing Address - Country:US
Mailing Address - Phone:281-897-0416
Mailing Address - Fax:
Practice Address - Street 1:17520 W GRAND PKWY S STE 440
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3170
Practice Address - Country:US
Practice Address - Phone:326-788-3508
Practice Address - Fax:877-319-1713
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-05
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5525237600000X
MSA3560237600000X
TX80551237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter