Provider Demographics
NPI:1598371510
Name:HIGGINS, STEPHANIE (PSY D)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:HIGGINS
Suffix:
Gender:
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1732A MARSH RD # 189
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4606
Mailing Address - Country:US
Mailing Address - Phone:302-365-0157
Mailing Address - Fax:
Practice Address - Street 1:1732A MARSH RD # 189
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4606
Practice Address - Country:US
Practice Address - Phone:302-365-0157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-16
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB1-0011233103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist