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 18 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.
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