Provider Demographics
NPI:1013028810
Name:RIEGGER, STEPHEN HARRY SR (LCPC)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:HARRY
Last Name:RIEGGER
Suffix:SR
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 TENBURY RD
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6337
Mailing Address - Country:US
Mailing Address - Phone:410-337-5415
Mailing Address - Fax:
Practice Address - Street 1:90 PAINTERS MILL RD
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-3630
Practice Address - Country:US
Practice Address - Phone:410-356-3383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1948101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional