Individual
DR. WILLIAM A HILGENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
11725 N ILLINOIS ST, STE 3501, CARMEL, IN 46032-3008
(317) 688-2647
(317) 688-2921
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20040359A
IN
103TC0700X
Clinical Psychologist
Primary
20040359A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100337310
—
IN
05
—
100337310B
—
IN
01
—
P00831908
RAILROAD MEDICARE
IN
Enumeration date
07/07/2005
Last updated
10/19/2021
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