Provider Demographics
NPI:1376275156
Name:RIGG, DAIRLIS J (MA,)
Entity Type:Individual
Prefix:
First Name:DAIRLIS
Middle Name:J
Last Name:RIGG
Suffix:
Gender:F
Credentials:MA,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30080 23 MILE RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48047-5718
Mailing Address - Country:US
Mailing Address - Phone:586-725-5380
Mailing Address - Fax:586-229-2495
Practice Address - Street 1:1254 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-1343
Practice Address - Country:US
Practice Address - Phone:586-725-5380
Practice Address - Fax:586-229-2495
Is Sole Proprietor?:No
Enumeration Date:2022-06-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000321231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist