IndividualActive
Jody Stark, MT-BC
NPI 1992070932 · Music Therapist · Detroit, MI
Provider details
- NPI number
- 1992070932
- Entity type
- Individual
- Primary specialty
- Music TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MT-BC
- Sex
- Female
- Sole proprietor
- No
Practice location
15366 Glastonbury Ave
Detroit, MI 48223-2211
Phone: (313) 273-7762
Fax: (313) 273-0152
Mailing address
15366 Glastonbury Ave
Detroit, MI 48223-2211
Registry dates
- Enumerated
- 2012-03-08
- Last updated
- 2012-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.