Doctor Name: | TRACIE ANN HIGGINS |
NPI Number: | 1518180256 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 2006026277 |
Business Practice Address: | 434 N West St Perryville, MO - 637751359 |
Business Phone Number: | 5735472530 |
Business Fax Number: | |
Mailing Address: | Po Box 222, JACKSON |
State: | MO |
Postal Code: | 637550222 |
Phone Number: | 5732709090 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2006026277 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |