Healthcare Provider Details

I. General information

NPI: 1689028326
Provider Name (Legal Business Name): EMILY KATHRYN LOURASH SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY KATHRYN WOLFE

II. Dates (important events)

Enumeration Date: 04/19/2016
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1834 FIELDS BLVD
GREENFIELD IN
46140-3029
US

IV. Provider business mailing address

1824 TOUBY PIKE STE B
KOKOMO IN
46901-2573
US

V. Phone/Fax

Practice location:
  • Phone: 317-527-5437
  • Fax:
Mailing address:
  • Phone: 765-628-7400
  • Fax: 765-450-6453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBACB795687
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number46002914A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: