| Doctor Name: | MRS. LORETTA NOTAH-ASHLEY |
| NPI Number: | 1144476870 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | T-0115681 |
| Business Practice Address: | Corner Of Route N12 & N7 Phs Fort Defiance Indian Hospital Fort Defiance, AZ - 865040649 |
| Business Phone Number: | 9287298944 |
| Business Fax Number: | 9287298502 |
| Mailing Address: | Corner Of Route N12 & N7, Phs Fort Defiance Indian Hospital FORT DEFIANCE |
| State: | AZ |
| Postal Code: | 865040649 |
| Phone Number: | 9287298944 |
| Fax Number: | 9287298502 |
| NPI Enumeration Date: | 08/13/2008 |
| NPI Last Update Date: | 08/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | T-0115681 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |