Healthcare Provider Details

I. General information

NPI: 1245149954
Provider Name (Legal Business Name): LAURA ESTUPINAN HIGUERA M.S., ED.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

253 N ORLANDO AVE STE 202
MAITLAND FL
32751-5521
US

IV. Provider business mailing address

253 N ORLANDO AVE STE 202
MAITLAND FL
32751-5521
US

V. Phone/Fax

Practice location:
  • Phone: 407-790-4101
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number1636
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: