Provider Demographics
NPI:1033954565
Name:PITSCH, ASHLEY RAE (SLP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RAE
Last Name:PITSCH
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 1 BOX 1169
Mailing Address - Street 2:
Mailing Address - City:HARDIN
Mailing Address - State:MT
Mailing Address - Zip Code:59034-9626
Mailing Address - Country:US
Mailing Address - Phone:406-679-2605
Mailing Address - Fax:
Practice Address - Street 1:17 N MILES AVE
Practice Address - Street 2:
Practice Address - City:HARDIN
Practice Address - State:MT
Practice Address - Zip Code:59034-2323
Practice Address - Country:US
Practice Address - Phone:406-665-2310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist