Rita Douglas
Music Therapist in Plymouth, MI. Individual provider (NPI-1).
NPI number1124992995
StatusActive
Last updated in NPPESOct 3, 2025
Details
- NPI
- 1124992995
- Entity type
- Individual (NPI-1)
- Name
- Rita Douglas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2025
- Certification date
- Oct 3, 2025
- Last updated
- Oct 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225A00000X | Music Therapist | – | – | Yes |
| 106S00000X | Behavior Technician | 24-7597-778629 | MI |
Practice location
650 Church StPlymouth, MI 48170-1689
Phone 734-386-1500
Mailing address
650 Church StPlymouth, MI 48170-1689
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