Basic Information
Provider Information
NPI: 1356896732
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HIGGINS
FirstName: ASHLEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PSY.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 20134 VALLEY FORGE CIR
Address2:  
City: KING OF PRUSSIA
State: PA
PostalCode: 194061112
CountryCode: US
TelephoneNumber: 6108789330
FaxNumber: 2675521002
Practice Location
Address1: 20134 VALLEY FORGE CIR
Address2:  
City: KING OF PRUSSIA
State: PA
PostalCode: 194061112
CountryCode: US
TelephoneNumber: 6108789330
FaxNumber: 2675521002
Other Information
ProviderEnumerationDate: 08/16/2016
LastUpdateDate: 09/23/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/23/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700XPS018091PAY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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