Provider Demographics
NPI:1578963336
Name:MEADE-HIGGINS, MEGAN (LP)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:MEADE-HIGGINS
Suffix:
Gender:F
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9515 HICKORY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-9114
Mailing Address - Country:US
Mailing Address - Phone:248-245-3261
Mailing Address - Fax:
Practice Address - Street 1:9515 HICKORY RIDGE RD
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48167-9114
Practice Address - Country:US
Practice Address - Phone:248-245-3261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301016781103TC0700X
MI6801087564104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker