Provider Demographics
NPI:1598968349
Name:RIGBY, BEN T (PHD)
Entity Type:Individual
Prefix:DR
First Name:BEN
Middle Name:T
Last Name:RIGBY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3205 RANDALL PKWY
Mailing Address - Street 2:SUITE 217
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-2564
Mailing Address - Country:US
Mailing Address - Phone:910-254-4545
Mailing Address - Fax:910-254-4557
Practice Address - Street 1:3205 RANDALL PKWY
Practice Address - Street 2:SUITE 217
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-2564
Practice Address - Country:US
Practice Address - Phone:910-254-4545
Practice Address - Fax:910-254-4557
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4093103TH0100X, 103T00000X
SC867103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service