Organization · Type 2 NPI
Sophie R. Wagner, NM Speech-Language Pathologist, LLC
Hearing and Speech Clinic/Center · Albuquerque, NM
NPI number
1144640947
Active
Practice location
1503 Central Ave NW, Unit 202
Albuquerque, NM 87104-1180
Fax (505) 232-3588
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hearing and Speech Clinic/Center Primary | 261QH0700X | 5431 (NM) |
Hearing and Speech Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
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About NPI 1144640947
Sophie R. Wagner, NM Speech-Language Pathologist, LLC's National Provider Identifier is 1144640947, issued on Apr 18, 2014. The primary taxonomy on file is Hearing and Speech Clinic/Center (261QH0700X), and the practice location is in Albuquerque, NM. The record was last updated on Sep 4, 2014.