Provider Demographics
NPI:1740258433
Name:HIGGINS, LESLIE C (PSY D)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:C
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 CLEARVIEW PKWY
Mailing Address - Street 2:STE 201
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2351
Mailing Address - Country:US
Mailing Address - Phone:504-885-1442
Mailing Address - Fax:
Practice Address - Street 1:5500 VETERANS MEMORIAL BLVD
Practice Address - Street 2:SUITE 304
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70003-1750
Practice Address - Country:US
Practice Address - Phone:504-885-1442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA525103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5S708Medicare ID - Type UnspecifiedM'CARE