Provider Demographics
NPI:1508289901
Name:CARLSON, HILLARY (AUD)
Entity Type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:
Last Name:CARLSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:
Other - Last Name:TRAPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:172 2ND ST S
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651-3708
Mailing Address - Country:US
Mailing Address - Phone:208-489-5970
Mailing Address - Fax:208-461-5623
Practice Address - Street 1:172 2ND ST S
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-3708
Practice Address - Country:US
Practice Address - Phone:208-489-5970
Practice Address - Fax:208-461-5623
Is Sole Proprietor?:No
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDAUD-2506231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist