Provider Demographics
NPI:1649515842
Name:HIGGINS, NICHOLAS H S (PHD, MA)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:H S
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:PHD, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 MONASTERY RD
Mailing Address - Street 2:
Mailing Address - City:CAPE ELIZABETH
Mailing Address - State:ME
Mailing Address - Zip Code:04107-2510
Mailing Address - Country:US
Mailing Address - Phone:207-799-0023
Mailing Address - Fax:
Practice Address - Street 1:77 MONASTERY RD
Practice Address - Street 2:
Practice Address - City:CAPE ELIZABETH
Practice Address - State:ME
Practice Address - Zip Code:04107-2510
Practice Address - Country:US
Practice Address - Phone:207-799-0023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-29
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERC1796101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor