Provider Demographics
NPI:1023417979
Name:RIGER, ALICE LINDA (PHD)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:LINDA
Last Name:RIGER
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:PO BOX 4805
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-0805
Mailing Address - Country:US
Mailing Address - Phone:757-410-0700
Mailing Address - Fax:757-222-3384
Practice Address - Street 1:1403 GREENBRIER PKWY
Practice Address - Street 2:SUITE 215
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-0614
Practice Address - Country:US
Practice Address - Phone:757-410-0700
Practice Address - Fax:757-222-3384
Is Sole Proprietor?:No
Enumeration Date:2014-08-16
Last Update Date:2014-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY68 017099103T00000X
VA0810005060103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist