Individual
SOPHIE RUTH WOEHRLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1205 LAS LOMAS RD NE, ALBUQUERQUE, NM 87106-4525
(505) 401-8204
Mailing address
1205 LAS LOMAS RD NE, ALBUQUERQUE, NM 87106-4525
(505) 401-8204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47631597
MEDICAID, INDIVIDUAL PROVIDER ID, NOT BILLING PROVIDER ID
NM
05
—
47631597
—
NM
Enumeration date
09/27/2012
Last updated
08/07/2026
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