Provider Demographics
NPI:1881227247
Name:HIGGINS, SARAH (MS CCC SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:HIGGINS
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 1:21438 HYTRAIL CIR
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-6036
Mailing Address - Country:US
Mailing Address - Phone:651-587-2247
Mailing Address - Fax:
Practice Address - Street 1:21438 HYTRAIL CIR
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-6036
Practice Address - Country:US
Practice Address - Phone:651-587-2247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-13
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist