Individual
DR. DARREN LEE HIGGINBOTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
11925 E 65TH ST, SUITE 4, INDIANAPOLIS, IN 46236-3178
(317) 643-9901
Mailing address
11925 E 65TH ST, SUITE 4, INDIANAPOLIS, IN 46236-3178
(317) 643-9901
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042135A
IN
Other
Enumeration date
02/12/2012
Last updated
02/27/2015
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