Provider Demographics
NPI:1205090800
Name:RIGBY, WILLIAM RALPH (PHD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:RALPH
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 1:215 CROGHAN DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-3198
Mailing Address - Country:US
Mailing Address - Phone:270-769-0773
Mailing Address - Fax:
Practice Address - Street 1:215 CROGHAN DR
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-3198
Practice Address - Country:US
Practice Address - Phone:270-769-0773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-11
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0869103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist