Provider Demographics
NPI:1164775359
Name:RIGGS, SHELLEY ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHELLEY
Middle Name:ANN
Last Name:RIGGS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 OWEN OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LAKE DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75065-2387
Mailing Address - Country:US
Mailing Address - Phone:940-453-4278
Mailing Address - Fax:940-565-4682
Practice Address - Street 1:1155 UNION CIR #311280
Practice Address - Street 2:UNIVERSITY OF NORTH TEXAS DEPARTMENT OF PSYCHOLOGY
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76203-5017
Practice Address - Country:US
Practice Address - Phone:940-565-2672
Practice Address - Fax:940-565-4682
Is Sole Proprietor?:No
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31892103TC1900X, 103TF0000X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy