Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629146220 Individual Practitioner Female Practitioner

Mary Boehm , MA, CCC-SLP

Speech-Language Pathologist • Albuquerque, NM

Professional Overview & Biography Verified Profile Summary

Mary Boehm, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Albuquerque, NM. Practice services are available at 11701 SAN VICTORIO AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11701 San Victorio Ave Ne

Albuquerque, NM 871115947

Telephone 5052934259
Fax 5052934586
Associated Practice Facility / Clinic
🏢 Unm Medical Group Inc Facility NPI 1831218627

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.8 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
887 Specialists

Practicing in Albuquerque, NM (2057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-07
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NM 1913

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
349 (NM)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Nicole Eseenmacher , SLP

Speech-Language Pathologist

NPI 1326375809

Speech-Language Pathologist

Renee Garcia , SLP

Speech-Language Pathologist

NPI 1588975882

Speech-Language Pathologist

Barbara Berlin , OT

Occupational Therapist

NPI 1821142456

Occupational Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address January 13, 2025

Registered at 800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 871064310 (Tel: 5052721476)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 11701 SAN VICTORIO AVE NE, ALBUQUERQUE, NM 871115947 (Tel: 5052934259)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1108 LA VEGA DR SW, ALBUQUERQUE, NM 871053947

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as MARY BOEHM, M.A., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (License #1913 in NM)

🟢
Initial NPI Registration & Enumeration December 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629146220
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2006
Last Update: May 07, 2026
Sole Proprietor: No

Mailing Address

800 Bradbury Dr Se Ste 116

Albuquerque, NM 871064310

Phone: 5052721476

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.