Provider Demographics
NPI:1891920971
Name:MACROY-HIGGINS, MICHELLE LEE (PHD CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:LEE
Last Name:MACROY-HIGGINS
Suffix:
Gender:F
Credentials:PHD CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:456 15TH ST
Mailing Address - Street 2:APT 1R
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-5773
Mailing Address - Country:US
Mailing Address - Phone:646-221-9001
Mailing Address - Fax:
Practice Address - Street 1:456 15TH ST
Practice Address - Street 2:APT 1R
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-5773
Practice Address - Country:US
Practice Address - Phone:646-221-9001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013501235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist