Individual
PHYLLIS HAILEY HIGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
5627 SOUTHERN PKWY, LOUISVILLE, KY 40214-1206
(425) 948-3879
Mailing address
5627 SOUTHERN PKWY, LOUISVILLE, KY 40214-1206
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
283689
KY
235Z00000X
Speech-Language Pathologist
LL60512376
WA
235Z00000X
Speech-Language Pathologist
SI60424756
WA
Other
Enumeration date
11/25/2013
Last updated
07/25/2023
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