Doctor Name: | JULIE RETTIG |
NPI Number: | 1477921286 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1480 Edendale Rd Dayton, OH - 454323634 |
Business Phone Number: | 9375424496 |
Business Fax Number: | |
Mailing Address: | 2848 E Saint Charles Pl, Unit 1 CINCINNATI |
State: | OH |
Postal Code: | 452081427 |
Phone Number: | 5133733057 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2015 |
NPI Last Update Date: | 09/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |