Doctor Name: | DR. BETH ANNE RIDGWAY |
NPI Number: | 1003968371 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 34901 |
Business Practice Address: | 1300 Western Blvd Raleigh, NC - 276062148 |
Business Phone Number: | 9197330800 |
Business Fax Number: | |
Mailing Address: | 300 Veazey Dr, BUTNER |
State: | NC |
Postal Code: | 275091668 |
Phone Number: | 9197642000 |
Fax Number: | |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 09/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0802X |
License Number: | 34901 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Psychiatry |
Taxonomy Definition: | Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |