Individual
MARK HIGGINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
2220 N CAMINO PRINCIPAL STE D, TUCSON, AZ 85715
(505) 399-1067
(520) 300-8092
Mailing address
2220 N CAMINO PRINCIPAL STE D, TUCSON, AZ 85715-5305
(520) 261-3306
(520) 300-8092
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1530
ND
235Z00000X
Speech-Language Pathologist
Primary
SLP10556
AZ
235Z00000X
Speech-Language Pathologist
TSLP10556
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03535
—
AZ
Enumeration date
08/25/2016
Last updated
04/07/2020
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