Provider Demographics
NPI:1043955628
Name:SINGER, RITA PHYLLIS (MA)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:PHYLLIS
Last Name:SINGER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 STONEHENGE CIR APT 8
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3218
Mailing Address - Country:US
Mailing Address - Phone:410-653-1260
Mailing Address - Fax:
Practice Address - Street 1:1 STONEHENGE CIR APT 8
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-3218
Practice Address - Country:US
Practice Address - Phone:443-938-0450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDATC036221700000X
MA669101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist