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Individual

DR. KENT ERIC HIGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
16 NORTH HADLEY ROAD, AMHERST, MA 01002-1905
(413) 374-8194
(413) 794-9490
Mailing address
30 COLUMBIA DR, AMHERST, MA 01002-3106
(413) 256-0109
(413) 794-9490

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6563
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1202847
MA
01
7544
HEALTHNET PROVIDER #
MA
Enumeration date
02/20/2007
Last updated
08/18/2011
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