Higginbottom, Larry
Higginbottom, Larry is an sole proprietor health care provider with primary practice located at 184 Dudley St Suite 107 Ll, Roxbury MA 02119-2561. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Higginbottom, Larry can be contacted via phone (617) 442-2002.Contact Information
Primary practice address
184 Dudley St Suite 107 Ll
Roxbury MA 02119-2561
Phone: (617) 442-2002
Fax: (617) 442-4002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2030131 | Massachusetts |
Profile Details
| NPI number | 1003062688 |
|---|---|
| LBN Legal business name | Higginbottom, Larry |
| Credentials | MSW / LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2008 |
| Last updated | Aug 14th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Carven, John B
55 Dimock St. Richards Building , Roxbury MA 02119-2667 -
Sadownick, David
36 Dearborn St , Roxbury MA 02119-2552 -
Kaslow, Laurie
56 Dimock Street , Roxbury MA 02199 -
Bowers, Rachael Mary
55 Dimock St Pediatrics, Roxbury MA 02119-1029 -
Penchinar, Sean
55 Dimock St Goddard, Roxbury MA 02119-1029 -
O'Brien, Shannon
55 Dimock St , Roxbury MA 02119-1029 -
Bruce, Talia Mary
45 Dimock St. Richards Building, Roxbury MA 02119 -
Siegel, Michelle A
1800 Columbus Ave , Roxbury MA 02119-1042