Provider Demographics
NPI:1740159052
Name:COBLER, SOPHIE GRACE
Entity type:Individual
Prefix:
First Name:SOPHIE
Middle Name:GRACE
Last Name:COBLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:391 OREGON ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-1618
Mailing Address - Country:US
Mailing Address - Phone:513-777-8599
Mailing Address - Fax:513-777-8198
Practice Address - Street 1:391 OREGON ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-1618
Practice Address - Country:US
Practice Address - Phone:513-777-8599
Practice Address - Fax:513-777-8198
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.20253321-SP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist