1992539894 NPI number — TIMOTHY ALLEN HIGLE LMFT, AAMFT

Table of content: TIMOTHY ALLEN HIGLE LMFT, AAMFT (NPI 1992539894)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992539894 NPI number — TIMOTHY ALLEN HIGLE LMFT, AAMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HIGLE
Provider First Name:
TIMOTHY
Provider Middle Name:
ALLEN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMFT, AAMFT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992539894
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/02/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1115 E DEL MAR AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORANGE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92865-3809
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-328-7305
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
26431 CROWN VALLEY PKWY STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MISSION VIEJO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92691-6360
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-348-6700
Provider Business Practice Location Address Fax Number:
562-346-1663
Provider Enumeration Date:
09/02/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  77236 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com