Provider Demographics
NPI:1134259211
Name:HIGLEY, LINDA L (PHD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:L
Last Name:HIGLEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5116 E WOODGLEN RD
Mailing Address - Street 2:
Mailing Address - City:MEAD
Mailing Address - State:WA
Mailing Address - Zip Code:99021-9445
Mailing Address - Country:US
Mailing Address - Phone:509-468-7500
Mailing Address - Fax:509-467-3242
Practice Address - Street 1:12 E ROWAN AVE
Practice Address - Street 2:L-3
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1281
Practice Address - Country:US
Practice Address - Phone:509-487-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00002809103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8857939Medicare ID - Type Unspecified