Organization
RITA U ANTANI PSYD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RITA U ANTANI PSYD (OWNER)
(248) 931-3176
Entity
Organization
Contact information
Practice address
2710 S ROCHESTER RD, SUITE 2, ROCHESTER HILLS, MI 48307-4598
(248) 931-3176
(888) 909-6848
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
BCBSM
MI
Enumeration date
01/13/2010
Last updated
10/29/2015
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