Provider Demographics
NPI:1053538611
Name:HILDENBRAND, CLAIRE E (MSCFY-SLP)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:E
Last Name:HILDENBRAND
Suffix:
Gender:F
Credentials:MSCFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13955 E COUNTY ROAD 1550 N
Mailing Address - Street 2:
Mailing Address - City:SAINT MEINRAD
Mailing Address - State:IN
Mailing Address - Zip Code:47577-1013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:303 N HURSTBOURNE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-5158
Practice Address - Country:US
Practice Address - Phone:502-412-5847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22004490A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist