Provider Demographics
NPI:1881929024
Name:LORASH, AMY CHRISTINE (MS)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:CHRISTINE
Last Name:LORASH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 81703
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59108-1703
Mailing Address - Country:US
Mailing Address - Phone:406-534-2087
Mailing Address - Fax:406-534-2153
Practice Address - Street 1:2747 ENTERPRISE AVE STE 5
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-7412
Practice Address - Country:US
Practice Address - Phone:406-534-2087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1208235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist