Provider Demographics
NPI:1437728953
Name:ASCH MARRIAGE AND FAMILY THERAPY, INC.
Entity Type:Organization
Organization Name:ASCH MARRIAGE AND FAMILY THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASCH
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:415-721-9988
Mailing Address - Street 1:PO BOX 2135
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94942-2135
Mailing Address - Country:US
Mailing Address - Phone:415-328-1003
Mailing Address - Fax:
Practice Address - Street 1:6 KNOLL LN
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2326
Practice Address - Country:US
Practice Address - Phone:415-721-9988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-19
Last Update Date:2021-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty