Provider Demographics
NPI:1477921286
Name:VILLEMEZ, JULIE RETTIG (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:RETTIG
Last Name:VILLEMEZ
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:RETTIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:2848 E SAINT CHARLES PL
Mailing Address - Street 2:UNIT 1
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-1427
Mailing Address - Country:US
Mailing Address - Phone:513-373-3057
Mailing Address - Fax:
Practice Address - Street 1:1950 STATE ROUTE 125
Practice Address - Street 2:
Practice Address - City:HAMERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:45130-9501
Practice Address - Country:US
Practice Address - Phone:937-379-1144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist