Individual
MRS. TAHNEE ANNE HIGGINBOTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
30008 N 73RD DR, PEORIA, AZ 85383-3068
(623) 670-1773
Mailing address
30008 N 73RD DR, PEORIA, AZ 85383-3068
(623) 670-1773
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA13787
AZ
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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