Provider Demographics
NPI:1376987420
Name:KATRINA HIGGINS, PLLC
Entity Type:Organization
Organization Name:KATRINA HIGGINS, PLLC
Other - Org Name:KATRINA HIGGINS, PSYD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:253-230-7919
Mailing Address - Street 1:920 ALDER AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SUMNER
Mailing Address - State:WA
Mailing Address - Zip Code:98390-1401
Mailing Address - Country:US
Mailing Address - Phone:253-230-7919
Mailing Address - Fax:253-883-3535
Practice Address - Street 1:920 ALDER AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:SUMNER
Practice Address - State:WA
Practice Address - Zip Code:98390-1401
Practice Address - Country:US
Practice Address - Phone:253-230-7919
Practice Address - Fax:253-883-3535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-19
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60116078261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health