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DANE HIGGINS PH.D.

Clinical Neuropsychologist

Goodyear, Arizona

Provider NPI: 1023089034

Provider Information:
 DANE  HIGGINS PH.D.
Gender: M
Not Sole Proprietor

Practice Location:
2440 N LITCHFIELD RD STE 200  GOODYEAR, AZ 85395 US
Tel: 623-977-6860  Fax: 623-977-2016

Business Mailing Address:
2440 N LITCHFIELD RD STE 200  GOODYEAR, AZ 85395 US
Tel: 623-977-6860  Fax: 623-977-2016

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
AZ3656
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
AZ3656

Other Provider Identifiers:

IssuerNumberStateType
874322AZ05
360382AZ05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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