Sophie R. Wagner, Nm Speech-Language Pathologist, LLC
NPI #1144640947 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1144640947
- Entity Type
- Organization
- Organization Name
- Sophie R. Wagner, Nm Speech-Language Pathologist, LLC
- Primary Specialty
- Clinic/Center - Hearing and Speech
- Enumeration Date
- Apr 18, 2014
- Last Updated
- Sep 4, 2014
Practice Location
- Address
- 1503 CENTRAL AVE NW
- Address 2
- UNIT 202
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87104-1180
- Phone
- (505) 401-8204
Authorized Official
- Name
- MS. CARYN WAGNER
- Title
- OFFICE MANAGER
- Phone
- (505) 980-5334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Hearing and Speech — Hearing and Speech |
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