Provider Demographics
NPI:1841758497
Name:ASP THERAPY LLC
Entity Type:Organization
Organization Name:ASP THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARI
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:PIZER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:215-341-3494
Mailing Address - Street 1:2032 KATER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-1313
Mailing Address - Country:US
Mailing Address - Phone:215-341-3494
Mailing Address - Fax:
Practice Address - Street 1:255 S 17TH ST STE 1909
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-6219
Practice Address - Country:US
Practice Address - Phone:215-341-3494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-02
Last Update Date:2019-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health