Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jody Conradi Stark, MT-BC

Individual provider Music Therapist · NPI 1992070932

Jody Conradi Stark, MT-BC is a Music Therapist in Detroit, Michigan. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

15366 Glastonbury Ave
Detroit, MI 48223-2211
Phone: (313) 273-7762
Fax: (313) 273-0152
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Music Therapist (primary) Taxonomy 225A00000X

Record details

NPI number1992070932
Entity typeIndividual (Type 1)
GenderFemale
Credentials MT-BC
Sole proprietorNo
NPI enumeratedMarch 8, 2012
Last updated in NPPESMarch 8, 2012

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