Provider Demographics
NPI:1508099524
Name:BADE, AASHIA M (PSYD, HSPP)
Entity Type:Individual
Prefix:
First Name:AASHIA
Middle Name:M
Last Name:BADE
Suffix:
Gender:F
Credentials:PSYD, HSPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 MONUMENT CIR
Mailing Address - Street 2:SUITE 529
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-2910
Mailing Address - Country:US
Mailing Address - Phone:317-608-7892
Mailing Address - Fax:
Practice Address - Street 1:55 MONUMENT CIR
Practice Address - Street 2:SUITE 529
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-2910
Practice Address - Country:US
Practice Address - Phone:317-608-7892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20042529A103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical