Basic Information
| Provider Information | |||||||||
| NPI: | 1053864017 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCINTYRE | ||||||||
| FirstName: | ASHLEY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1384 OLD FREEPORT RD STE 2BF | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152383129 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4124067692 | ||||||||
| FaxNumber: | 4129689113 | ||||||||
| Practice Location | |||||||||
| Address1: | 1384 OLD FREEPORT RD STE 2BF | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152383129 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4124067692 | ||||||||
| FaxNumber: | 4129689113 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2016 | ||||||||
| LastUpdateDate: | 07/26/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 246ZE0600X | Y | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Electroneurodiagnostic |
No ID Information.