Provider Demographics
NPI:1023319639
Name:ASCH, MICHAEL AARON (BA)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:AARON
Last Name:ASCH
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 RIDGECREST DR
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-9673
Mailing Address - Country:US
Mailing Address - Phone:707-258-8190
Mailing Address - Fax:
Practice Address - Street 1:74 RIDGECREST DR
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-9673
Practice Address - Country:US
Practice Address - Phone:707-258-8190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health