Healthcare Provider Details

I. General information

NPI: 1932711082
Provider Name (Legal Business Name): ANNE SUTTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNE SUTTER

II. Dates (important events)

Enumeration Date: 08/20/2020
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2163 142ND AVE
DORR MI
49323-9588
US

IV. Provider business mailing address

2958 WHISPER LN
HAMILTON MI
49419-8816
US

V. Phone/Fax

Practice location:
  • Phone: 616-689-9189
  • Fax:
Mailing address:
  • Phone: 616-826-0687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: