Healthcare Provider Details

I. General information

NPI: 1700792926
Provider Name (Legal Business Name): CATHERINE ANNE SUMERTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6880 E JOY RD
ANN ARBOR MI
48105-9297
US

IV. Provider business mailing address

6880 E JOY RD
ANN ARBOR MI
48105-9297
US

V. Phone/Fax

Practice location:
  • Phone: 734-945-9151
  • Fax:
Mailing address:
  • Phone: 734-945-9151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberCSU-111231
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: