Provider Demographics
NPI:1174615611
Name:RIGGS, MICHELE MARIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:MARIE
Last Name:RIGGS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1633 E 4TH ST
Mailing Address - Street 2:120
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-5163
Mailing Address - Country:US
Mailing Address - Phone:562-544-0521
Mailing Address - Fax:
Practice Address - Street 1:1633 E 4TH ST
Practice Address - Street 2:120
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-5163
Practice Address - Country:US
Practice Address - Phone:562-544-0521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17826103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist