Provider Demographics
NPI:1750862140
Name:HILLMAN, CAITLIN ROSE
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:ROSE
Last Name:HILLMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2566 HAYMAKER RD STE 214
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3554
Mailing Address - Country:US
Mailing Address - Phone:412-372-6360
Mailing Address - Fax:
Practice Address - Street 1:2566 HAYMAKER RD STE 214
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3554
Practice Address - Country:US
Practice Address - Phone:412-372-6360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006597237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAAT006597OtherAUDIOLOGY LICENSE