Provider Demographics
NPI:1871808287
Name:WHITE, SUZAN RIGGSBEE (DO)
Entity type:Individual
Prefix:DR
First Name:SUZAN
Middle Name:RIGGSBEE
Last Name:WHITE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5 TAMARACK RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:VT
Mailing Address - Zip Code:05445-9629
Mailing Address - Country:US
Mailing Address - Phone:413-212-4143
Mailing Address - Fax:
Practice Address - Street 1:928 FALLS RD STE 1
Practice Address - Street 2:
Practice Address - City:SHELBURNE
Practice Address - State:VT
Practice Address - Zip Code:05482-6213
Practice Address - Country:US
Practice Address - Phone:802-404-5140
Practice Address - Fax:802-448-5909
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2615862084P0800X
VT03201125962084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry