Provider Demographics
NPI:1356480198
Name:HIGUERA, DOROTHY L (MED)
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:L
Last Name:HIGUERA
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4867 E COUNTY 15TH ST
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-4790
Mailing Address - Country:US
Mailing Address - Phone:928-341-0168
Mailing Address - Fax:
Practice Address - Street 1:2353 S OTONDO DR
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-9047
Practice Address - Country:US
Practice Address - Phone:928-341-1600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool