Provider Demographics
NPI:1558637942
Name:MORASH, CASEY COLE (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:COLE
Last Name:MORASH
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 EVONAIRE CIR
Mailing Address - Street 2:
Mailing Address - City:BELLEAIR
Mailing Address - State:FL
Mailing Address - Zip Code:33756-1603
Mailing Address - Country:US
Mailing Address - Phone:727-586-1884
Mailing Address - Fax:
Practice Address - Street 1:14 EVONAIRE CIR
Practice Address - Street 2:
Practice Address - City:BELLEAIR
Practice Address - State:FL
Practice Address - Zip Code:33756-1603
Practice Address - Country:US
Practice Address - Phone:727-586-1884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA11299235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist