Healthcare Provider Details

I. General information

NPI: 1689224131
Provider Name (Legal Business Name): AIMEE MICHELLE VILLARET
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2019
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 FRANKLIN ST
SAN FRANCISCO CA
94102-4414
US

IV. Provider business mailing address

555 FRANKLIN ST
SAN FRANCISCO CA
94102-4414
US

V. Phone/Fax

Practice location:
  • Phone: 415-241-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number117112
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number40176
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: