Healthcare Provider Details

I. General information

NPI: 1871623850
Provider Name (Legal Business Name): ROBIN L RIGGAN M.S., L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 11/13/2020
Certification Date: 11/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 HENDERSON RD
MALVERN AR
72104-8848
US

IV. Provider business mailing address

900 HENDERSON RD
MALVERN AR
72104-8848
US

V. Phone/Fax

Practice location:
  • Phone: 501-282-0268
  • Fax:
Mailing address:
  • Phone: 501-282-0268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP0711065
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: