Provider Demographics
NPI:1164521183
Name:ASH, HAROLD N (MED)
Entity Type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:N
Last Name:ASH
Suffix:
Gender:M
Credentials:MED
Other - Prefix:MR
Other - First Name:HARRY
Other - Middle Name:N
Other - Last Name:ASH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MED
Mailing Address - Street 1:33 TERMINAL WAY
Mailing Address - Street 2:SUITE 525A
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-1216
Mailing Address - Country:US
Mailing Address - Phone:412-481-8833
Mailing Address - Fax:412-481-3934
Practice Address - Street 1:33 TERMINAL WAY
Practice Address - Street 2:SUITE 525A
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-1216
Practice Address - Country:US
Practice Address - Phone:412-481-8833
Practice Address - Fax:412-481-3934
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007862L103T00000X, 103TP2701X
MI6301018310103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012279330002Medicaid
PA1012279330001Medicaid