Individual
RITA U ANTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2820 CROOKS RD STE 100, ROCHESTER HILLS, MI 48309-3620
(248) 931-3176
(248) 289-6540
Mailing address
PO BOX 70092, ROCHESTER HILLS, MI 48307-0002
(248) 931-3176
(888) 909-6848
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008402
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680F332027
BLUE CROSS MICHIGAN
MI
Enumeration date
06/19/2006
Last updated
07/05/2019
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