Provider Demographics
NPI:1659892586
Name:HIGGS, KELLY ANN (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:ANN
Last Name:HIGGS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SPEECH AND LANGUAGE CENTER AT STONE OAK
Mailing Address - Street 2:225 E SONTERRA BLVD, STE 120
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258
Mailing Address - Country:US
Mailing Address - Phone:210-495-9944
Mailing Address - Fax:210-495-2540
Practice Address - Street 1:225 E SONTERRA BLVD, STE 120
Practice Address - Street 2:SPEECH AND LANGUAGE CENTER AT STONE OAK
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258
Practice Address - Country:US
Practice Address - Phone:210-495-9944
Practice Address - Fax:210-495-2540
Is Sole Proprietor?:No
Enumeration Date:2017-06-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17238235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist