Healthcare Provider Details

I. General information

NPI: 1063101350
Provider Name (Legal Business Name): HANNAH ELAINE RIGBY MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2023
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2731 NUGGET AVE
LAKE ISABELLA CA
93240-9456
US

IV. Provider business mailing address

PO BOX 2632
LAKE ISABELLA CA
93240-2632
US

V. Phone/Fax

Practice location:
  • Phone: 760-549-9612
  • Fax:
Mailing address:
  • Phone: 760-549-9612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT161360
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: