Provider Demographics
NPI:1578271516
Name:ASHIME, YVETTE MIRANDE
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:MIRANDE
Last Name:ASHIME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4815 JONESTOWN RD STE 202
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-1750
Mailing Address - Country:US
Mailing Address - Phone:717-332-5650
Mailing Address - Fax:
Practice Address - Street 1:4815 JONESTOWN RD STE 202
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-1750
Practice Address - Country:US
Practice Address - Phone:717-332-5650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No251E00000XAgenciesHome Health
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealthGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care