MEDICARE: SHARON WOLDRICH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SP13628	CA

General Provider Information

NPI Number	:	1336092782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON WOLDRICH

Provider Business Mailing Address
First Line	:	4100 NORMAL ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-2653
Country	:	US
Telephone Number	:	619-725-5501
Fax Number	:

Provider Business Practice Location Address
First Line	:	6506 SOLITA AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-4244
Country	:	US
Telephone Number	:	619-344-5700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/22/2026

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Directions to “ SHARON WOLDRICH ” Practice Location

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