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Organization

CNS MEMORY CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANE A HIGGINS PHD (OWNER)
(623) 977-6860
Entity
Organization

Contact information

Practice address
2440 N LITCHFIELD RD STE 200, GOODYEAR, AZ 85395-1664
(623) 977-6860
(623) 977-2016
Mailing address
2440 N LITCHFIELD RD STE 200, GOODYEAR, AZ 85395-1664
(623) 977-6860
(623) 977-2016

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3656
AZ
103T00000X
Psychologist
3656
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
874322
AZ
Enumeration date
03/09/2015
Last updated
02/02/2026
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