Healthcare Provider Details

I. General information

NPI: 1164521183
Provider Name (Legal Business Name): HAROLD N ASH M.ED.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: HARRY N ASH M.ED.

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 01/12/2021
Certification Date: 01/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 TERMINAL WAY SUITE 525A
PITTSBURGH PA
15219-1216
US

IV. Provider business mailing address

33 TERMINAL WAY SUITE 525A
PITTSBURGH PA
15219-1216
US

V. Phone/Fax

Practice location:
  • Phone: 412-481-8833
  • Fax: 412-481-3934
Mailing address:
  • Phone: 412-481-8833
  • Fax: 412-481-3934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS007862L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License NumberPS007862L
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301018310
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: