Provider Demographics
NPI:1295629772
Name:KATCHER, KARISSA (AUD)
Entity type:Individual
Prefix:DR
First Name:KARISSA
Middle Name:
Last Name:KATCHER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6555 WILSON MILLS RD STE 104
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44143-3435
Mailing Address - Country:US
Mailing Address - Phone:440-484-2114
Mailing Address - Fax:
Practice Address - Street 1:6555 WILSON MILLS RD STE 104
Practice Address - Street 2:
Practice Address - City:MAYFIELD
Practice Address - State:OH
Practice Address - Zip Code:44143-3435
Practice Address - Country:US
Practice Address - Phone:440-484-2114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-07
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.02584231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist