| Doctor Name: | DANE HIGGINS |
| NPI Number: | 1023089034 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 3656 |
| Business Practice Address: | 2440 N Litchfield Rd Suite 210 Goodyear, AZ - 853951662 |
| Business Phone Number: | 6239776860 |
| Business Fax Number: | 6239772016 |
| Mailing Address: | 2440 N Litchfield Rd, Suite 210 GOODYEAR |
| State: | AZ |
| Postal Code: | 853951662 |
| Phone Number: | 6239776860 |
| Fax Number: | 6239772016 |
| NPI Enumeration Date: | 01/28/2006 |
| NPI Last Update Date: | 06/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3656 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |