Provider Demographics
NPI:1104310713
Name:HIGNEY, REBECCA FRANCES
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:FRANCES
Last Name:HIGNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 276950
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-6950
Mailing Address - Country:US
Mailing Address - Phone:415-600-6200
Mailing Address - Fax:415-749-1433
Practice Address - Street 1:1625 VAN NESS AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-3370
Practice Address - Country:US
Practice Address - Phone:415-600-6200
Practice Address - Fax:415-749-1433
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-18
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY35100103TC0700X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical