Provider Demographics
NPI:1356556351
Name:HIGBEE, SUSANNE JOYCE (MS)
Entity type:Individual
Prefix:MS
First Name:SUSANNE
Middle Name:JOYCE
Last Name:HIGBEE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 FREEMAN LN
Mailing Address - Street 2:
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368-9704
Mailing Address - Country:US
Mailing Address - Phone:360-379-6866
Mailing Address - Fax:360-379-6866
Practice Address - Street 1:24 FREEMAN LN
Practice Address - Street 2:
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368-9704
Practice Address - Country:US
Practice Address - Phone:360-379-6866
Practice Address - Fax:360-379-6866
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00050006101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health