Provider Demographics
NPI:1518634427
Name:SELLECK, RICHARD EUGENE RIGGS (AUD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:EUGENE RIGGS
Last Name:SELLECK
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1538 TURNPIKE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-6200
Mailing Address - Country:US
Mailing Address - Phone:617-733-4681
Mailing Address - Fax:
Practice Address - Street 1:435 KING ST STE 2
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:MA
Practice Address - Zip Code:01460-1275
Practice Address - Country:US
Practice Address - Phone:978-952-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-27
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4872-SP-AU231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist