Individual
JOHN DAVID HIGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
RR 2 BOX 2668, CANTON, PA 17724-8626
(570) 295-1638
(570) 673-8814
Mailing address
RR 2 BOX 2668, CANTON, PA 17724-8626
(570) 295-1638
(570) 673-8814
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006125L
PA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS006125L
PA
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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