Individual
MRS. JULIE PAIGE HERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
9290 MAXWELLS XING, DAYTON, OH 45458-5030
(352) 317-2622
(352) 317-2622
Mailing address
9290 MAXWELLS XING, DAYTON, OH 45458-5030
(352) 317-2622
(352) 317-2622
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA8551
FL
235Z00000X
Speech-Language Pathologist
Primary
SP12728
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2187155
—
OH
01
—
AB7360731
MEDICARE PIN
OH
Enumeration date
04/29/2008
Last updated
02/12/2021
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