Provider Demographics
NPI:1548400344
Name:HIGGINS, THOMAS F X (EDD; LCMHC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:F
Last Name:HIGGINS
Suffix:X
Gender:M
Credentials:EDD; LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 ROUTE 117
Mailing Address - Street 2:
Mailing Address - City:SUGAR HILL
Mailing Address - State:NH
Mailing Address - Zip Code:03586-4502
Mailing Address - Country:US
Mailing Address - Phone:603-823-8881
Mailing Address - Fax:603-823-7277
Practice Address - Street 1:211 ROUTE 117
Practice Address - Street 2:
Practice Address - City:SUGAR HILL
Practice Address - State:NH
Practice Address - Zip Code:03586-4502
Practice Address - Country:US
Practice Address - Phone:603-823-8881
Practice Address - Fax:603-823-7277
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH393101YM0800X
MA1206103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
20854OtherNATIONAL REGISTER IN PSYCHOLOGY