Provider Demographics
NPI:1134352594
Name:RIGGS NEUROPSYCHOLOGY ASSOCIATES, PLLC
Entity type:Organization
Organization Name:RIGGS NEUROPSYCHOLOGY ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL NEUROPSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RAINE
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:RIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:802-275-8224
Mailing Address - Street 1:398 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-5857
Mailing Address - Country:US
Mailing Address - Phone:802-275-8224
Mailing Address - Fax:
Practice Address - Street 1:55 MARLBORO RD
Practice Address - Street 2:SUITE 11
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-9819
Practice Address - Country:US
Practice Address - Phone:802-275-8224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT048.0046370103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty