Provider Demographics
NPI:1659962025
Name:HILLERMAN, ERIN NICHOLE (MS, CF-SLP)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:NICHOLE
Last Name:HILLERMAN
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2537 HIGHWAY A
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-6419
Mailing Address - Country:US
Mailing Address - Phone:636-667-0249
Mailing Address - Fax:
Practice Address - Street 1:1080 MARIE LN
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:MO
Practice Address - Zip Code:63084-1056
Practice Address - Country:US
Practice Address - Phone:636-206-8585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021003155235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist