Provider Demographics
NPI:1003560699
Name:THEURER, HILLARY KATHERINE (MSW)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:KATHERINE
Last Name:THEURER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 41ST AVE S
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-7438
Mailing Address - Country:US
Mailing Address - Phone:701-333-8135
Mailing Address - Fax:
Practice Address - Street 1:912 41ST AVE S
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-7438
Practice Address - Country:US
Practice Address - Phone:701-333-8135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker