Organization
RICHARD HIGINBOTHAM PA
Active
Organization
RICHARD HIGINBOTHAM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD HIGINBOTHAM PA LCSW (PRESIDENT)
(734) 320-6940
Entity
Organization
Contact information
Practice address
614 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-4750
(772) 225-1226
Mailing address
3940 N FLAGLER DR, #201, WEST PALM BEACH, FL 33407-4441
(734) 320-6940
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
SW8769
FL
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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