Healthcare Provider Details

I. General information

NPI: 1467282566
Provider Name (Legal Business Name): LISA DIANE ASH MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2024
Last Update Date: 08/03/2024
Certification Date: 08/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 GAMMA DR STE 501
PITTSBURGH PA
15238-2926
US

IV. Provider business mailing address

1139 MARSHALL AVE
PITTSBURGH PA
15212-2866
US

V. Phone/Fax

Practice location:
  • Phone: 412-643-1574
  • Fax:
Mailing address:
  • Phone: 412-862-7319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: