Individual
RONALD HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP-A
Contact information
Practice address
433 N SIBYL RD, SAINT DAVID, AZ 85630-6115
(520) 720-9790
Mailing address
433 N SIBYL RD, SAINT DAVID, AZ 85630-6115
(520) 720-9790
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA7896
AZ
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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