Provider Demographics
NPI:1760438758
Name:HILGER, GWENDOLYN S (PHD)
Entity Type:Individual
Prefix:
First Name:GWENDOLYN
Middle Name:S
Last Name:HILGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 PENN AVE
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:WILKINSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15221-2118
Mailing Address - Country:US
Mailing Address - Phone:412-371-7330
Mailing Address - Fax:412-242-4732
Practice Address - Street 1:221 PENN AVE
Practice Address - Street 2:SUITE 1100
Practice Address - City:WILKINSBURG
Practice Address - State:PA
Practice Address - Zip Code:15221-2118
Practice Address - Country:US
Practice Address - Phone:412-371-7330
Practice Address - Fax:412-242-4732
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008687L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA910865OtherHIGHMARK BC BS
PA0018550990001Medicaid
PAS64901Medicare UPIN
PA910865OtherHIGHMARK BC BS