Provider Demographics
NPI:1083209787
Name:HIGGINS KLEIN, DOTTIE (LMFT)
Entity Type:Individual
Prefix:
First Name:DOTTIE
Middle Name:
Last Name:HIGGINS KLEIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6811 QUINCY ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-2663
Mailing Address - Country:US
Mailing Address - Phone:215-844-4321
Mailing Address - Fax:215-844-8877
Practice Address - Street 1:6811 QUINCY ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-2663
Practice Address - Country:US
Practice Address - Phone:215-844-4321
Practice Address - Fax:215-844-8877
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-04
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000109106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist