Provider Demographics
NPI:1497599096
Name:EARL, ANASTASHA MARIE (PHD, MS, NCC)
Entity type:Individual
Prefix:DR
First Name:ANASTASHA
Middle Name:MARIE
Last Name:EARL
Suffix:
Gender:F
Credentials:PHD, MS, NCC
Other - Prefix:
Other - First Name:ANASTASHA
Other - Middle Name:MARIE
Other - Last Name:HOMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:310 OAK AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:PA
Mailing Address - Zip Code:15037-1630
Mailing Address - Country:US
Mailing Address - Phone:412-370-5544
Mailing Address - Fax:
Practice Address - Street 1:90 W CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4524
Practice Address - Country:US
Practice Address - Phone:412-492-4376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor