Provider Demographics
NPI:1346712239
Name:KAREHA, BREANNE (SLP)
Entity type:Individual
Prefix:MS
First Name:BREANNE
Middle Name:
Last Name:KAREHA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 TECUMSEH ST
Mailing Address - Street 2:
Mailing Address - City:DUNDEE
Mailing Address - State:MI
Mailing Address - Zip Code:48131-1065
Mailing Address - Country:US
Mailing Address - Phone:734-286-4733
Mailing Address - Fax:
Practice Address - Street 1:177 TECUMSEH ST
Practice Address - Street 2:
Practice Address - City:DUNDEE
Practice Address - State:MI
Practice Address - Zip Code:48131-1065
Practice Address - Country:US
Practice Address - Phone:734-286-4733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101007322235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist