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SOPHIE RUTH WAGNER SLP
NPI 1467703694
Speech-Language Pathologist in Albuquerque, NM

Active since September 27, 2012
1503 CENTRAL AVE NW, UNIT 202, ALBUQUERQUE, NM 87104(505) 401-8204(505) 232-3593 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sophie Ruth Wagner Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOPHIE RUTH WAGNER SLP (NPI 1467703694) is an individual speech-language pathologist provider in Albuquerque, New Mexico and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1467703694
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSOPHIE RUTH WAGNERCredential: SLP
Location Address1503 CENTRAL AVE NW, UNIT 202Albuquerque, NM 87104-1180
Mailing Address1503 Central Ave Nw, Unit 202Albuquerque, NM 87104-1180 · (505) 401-8204 · Fax (505) 232-3593
Phone(505) 401-8204
Fax(505) 232-3593
Sole ProprietorYes
Enumeration DateSeptember 27, 2012
Last NPPES UpdateSeptember 4, 2014
✔ NPI 1467703694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1503 CENTRAL AVE NW, Albuquerque, NM 87104
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Other Names 1

Professional Name (2)Sophie Ruth Wagner Ma, Ccc-slp

Other Identifiers 2

Medicaid47631597NM
Other47631597NM · Medicaid, Individual Provider Id, Not Billing Provider Id

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOPHIE R. WAGNER, NM SPEECH-LANGUAGE PATHOLOGIST, LLC
Clinic/Center (Hearing and Speech)
1503 CENTRAL AVE NW, UNIT 202
ALBUQUERQUE, NM 87104
Bernalillo County (505) 401-8204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sophie Wagner's NPI number?

The NPI number for Sophie Wagner is 1467703694. It was assigned to this individual provider in the NPPES registry on September 27, 2012. The provider is also known as Sophie Ruth Wagner Ma, Ccc-Slp.

Where is Sophie Wagner located?

Sophie Wagner practices at 1503 Central Ave NW Unit 202, Albuquerque, NM 87104. The listed phone number is (505) 401-8204.

What is Sophie Wagner's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Sophie Wagner was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.