Individual
DR. DANE A HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2440 N LITCHFIELD RD STE 200, GOODYEAR, AZ 85395-1664
(623) 977-6860
(623) 977-2016
Mailing address
2440 N LITCHFIELD RD STE 200, GOODYEAR, AZ 85395-1664
(623) 977-6860
(623) 977-2016
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3656
AZ
103TC0700X
Clinical Psychologist
3656
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360382
—
AZ
05
—
874322
—
AZ
Enumeration date
01/28/2006
Last updated
02/26/2024
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