Provider Demographics
NPI:1275689135
Name:HILGER, MANUELA WALTRAUD (SLP)
Entity Type:Individual
Prefix:MRS
First Name:MANUELA
Middle Name:WALTRAUD
Last Name:HILGER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2561 ABBYDALE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-3018
Mailing Address - Country:US
Mailing Address - Phone:636-928-3760
Mailing Address - Fax:636-928-2862
Practice Address - Street 1:2561 ABBYDALE DR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-3018
Practice Address - Country:US
Practice Address - Phone:636-928-3760
Practice Address - Fax:636-928-2862
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01078235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist