Healthcare Provider Details

I. General information

NPI: 1982791620
Provider Name (Legal Business Name): KAREN LEE HIGGINBOTHAM PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 E MISSISSIPPI AVE SUITE 600
DENVER CO
80246-3048
US

IV. Provider business mailing address

4100 E MISSISSIPPI AVE SUITE 600
DENVER CO
80246-3048
US

V. Phone/Fax

Practice location:
  • Phone: 303-380-0114
  • Fax: 303-759-3515
Mailing address:
  • Phone: 303-380-0114
  • Fax: 303-759-3515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number1183
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1183
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number1183
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number1183
License Number StateCO
# 5
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1183
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: