Provider Demographics
NPI:1225214067
Name:RIGNEY, SUSAN (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:RIGNEY
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41865 BOARDWALK
Mailing Address - Street 2:SUITE 219
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211
Mailing Address - Country:US
Mailing Address - Phone:760-341-3144
Mailing Address - Fax:760-341-3110
Practice Address - Street 1:41865 BOARDWALK
Practice Address - Street 2:SUITE 219
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211
Practice Address - Country:US
Practice Address - Phone:760-341-3144
Practice Address - Fax:760-341-3110
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF51350106H00000X
CAMFC47547106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist