Provider Demographics
NPI:1649994161
Name:SCHADE, ASH PATRICK (MA)
Entity type:Individual
Prefix:
First Name:ASH
Middle Name:PATRICK
Last Name:SCHADE
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-4615
Mailing Address - Country:US
Mailing Address - Phone:304-917-0021
Mailing Address - Fax:
Practice Address - Street 1:4510 TERRACE AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25705-1754
Practice Address - Country:US
Practice Address - Phone:304-202-1699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist