Individual
MARY BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
11701 SAN VICTORIO AVE NE, ALBUQUERQUE, NM 87111-5947
(505) 293-4259
(505) 293-4586
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1913
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349
—
NM
Enumeration date
12/01/2006
Last updated
05/07/2026
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