Provider Demographics
NPI:1629218300
Name:HIGGINS-STRICKLAND, KELLIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:KELLIE
Middle Name:
Last Name:HIGGINS-STRICKLAND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:KELLIE
Other - Middle Name:ELIZABETH
Other - Last Name:HIGGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1500 W 38TH ST
Mailing Address - Street 2:SUITE 47
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-6321
Mailing Address - Country:US
Mailing Address - Phone:512-565-4454
Mailing Address - Fax:512-451-9111
Practice Address - Street 1:1500 W 38TH ST
Practice Address - Street 2:SUITE 47
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-6321
Practice Address - Country:US
Practice Address - Phone:512-565-4454
Practice Address - Fax:512-451-9111
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33791103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical