Most Relevant Information
Provider Data
| NPI Number: | 1003500224 |
| Provider Name: | KATHRYN ROSE HIGGINBOTHAM |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/08/2023 |
| Last Updated: | 06/08/2023 |
Provider Practice Location
997 STAFFORD AVE
STATEN ISLAND
NY
103092109
Practice Location Phone/Fax
| Phone: | 7189481900 |
| Fax: |
Provider Mailing Location
118 STOBE AVE
STATEN ISLAND
NY
103063518
Provider Mailing Phone/Fax
| Phone: | 9178291029 |
| Fax: |