Healthcare Provider Details

I. General information

NPI: 1043955628
Provider Name (Legal Business Name): RITA PHYLLIS SINGER M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2022
Last Update Date: 04/28/2022
Certification Date: 04/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 STONEHENGE CIR APT 8
PIKESVILLE MD
21208-3218
US

IV. Provider business mailing address

1 STONEHENGE CIR APT 8
PIKESVILLE MD
21208-3218
US

V. Phone/Fax

Practice location:
  • Phone: 443-938-0450
  • Fax:
Mailing address:
  • Phone: 410-653-1260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number669
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberATC036
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: