Individual
HOLLY HIGINBOTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
741 NORTH ST, BRIEN FAMILY CENTER, PITTSFIELD, MA 01201-4109
(413) 447-2145
(413) 447-3245
Mailing address
1957 OLD ROUTE 9, WINDSOR, MA 01270-9399
(413) 684-3724
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7711
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1854330
—
MA
01
—
31709
HEALTH NEW ENGLAND
MA
01
—
472277
TUFTS
MA
01
—
473816000
MAGELLAN
MA
01
—
W06193
BCBSMA
MA
Enumeration date
08/20/2006
Last updated
07/08/2007
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