MEDICARE: DR. DAWN N RIGGS PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY0478	NV

General Provider Information

NPI Number	:	1922100692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAWN N RIGGS PH.D.

Provider Business Mailing Address
First Line	:	3024 WILLETT CT
Second Line	:
City	:	FLORENCE
State	:	SC
Zip	:	29501-6994
Country	:	US
Telephone Number	:	775-450-7774
Fax Number	:	866-244-3992

Provider Business Practice Location Address
First Line	:	304 S JONES BLVD STE 2523
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-2623
Country	:	US
Telephone Number	:	775-400-2996
Fax Number	:	866-244-3992

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2006
Last Update Date	:	10/01/2024

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