Individual
DR. SHELLIE RENAE HIGUERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5059 DAY DR, FAIRFIELD, CA 94533-6597
(916) 261-2743
(707) 437-3239
Mailing address
5059 DAY DR, FAIRFIELD, CA 94533-6597
(916) 261-2743
(707) 437-3239
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
3520
CA
103TC1900X
Counseling Psychologist
3520
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
3520
CA
103TP2701X
Group Psychotherapy Psychologist
3520
CA
103TS0200X
School Psychologist
Primary
3520
CA
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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