Provider Demographics
NPI:1144357880
Name:HIGGINS, ROBERT (LMFT)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 BANK ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766-1702
Mailing Address - Country:US
Mailing Address - Phone:603-448-3739
Mailing Address - Fax:
Practice Address - Street 1:27 BANK ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1702
Practice Address - Country:US
Practice Address - Phone:603-448-3739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH65106H00000X
VT100-0000041106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1010425Medicaid
NH30422624Medicaid
VT2173886OtherCIGNA
NH7765850OtherAETNA
NH14Y001565NH02OtherANTHEM
NH2173886OtherCIGNA