MEDICARE: DR. KAREN MARGARET HILGERS PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	LP 0733	MN

General Provider Information

NPI Number	:	1578781381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN MARGARET HILGERS PHD

Provider Business Mailing Address
First Line	:	1337 SAINT CLAIR AVE
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55105-2844
Country	:	US
Telephone Number	:	651-698-1360
Fax Number	:	651-690-7039

Provider Business Practice Location Address
First Line	:	1337 SAINT CLAIR AVE
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55105-2844
Country	:	US
Telephone Number	:	651-698-1360
Fax Number	:	651-690-7039

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/08/2007

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