Healthcare Provider Details

I. General information

NPI: 1720994817
Provider Name (Legal Business Name): ANNIE KARASCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61682 DAILEY RD
CASSOPOLIS MI
49031-9648
US

IV. Provider business mailing address

22424 HAPPY DR
CASSOPOLIS MI
49031-9700
US

V. Phone/Fax

Practice location:
  • Phone: 269-445-3891
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101009001
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: