Healthcare Provider Details

I. General information

NPI: 1174823173
Provider Name (Legal Business Name): PATRICIA MARIE HIGGINS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2010
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7395 EL CAMINO REAL # 454
ATASCADERO CA
93422-4628
US

IV. Provider business mailing address

7395 EL CAMINO REAL # 454
ATASCADERO CA
93422-4628
US

V. Phone/Fax

Practice location:
  • Phone: 484-636-7244
  • Fax:
Mailing address:
  • Phone: 484-636-7244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number23765
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: