Provider Demographics
NPI:1164027389
Name:CHASE, TRISHA KAE MARKLE (PHD)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:KAE MARKLE
Last Name:CHASE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5905 W 21ST PL
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99338-1503
Mailing Address - Country:US
Mailing Address - Phone:509-948-5737
Mailing Address - Fax:
Practice Address - Street 1:1950 KEENE RD BLDG O
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-7754
Practice Address - Country:US
Practice Address - Phone:509-627-2600
Practice Address - Fax:509-627-2060
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist