Doctor Name: | MS. TERI LEA GAHRE |
NPI Number: | 1326168865 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.CCC |
License Number: | SP5447 |
Business Practice Address: | 411 N Lakeview Ave Anaheim, CA - 928073028 |
Business Phone Number: | 7142794296 |
Business Fax Number: | 7142795775 |
Mailing Address: | 13513 Mashona Ave, CHINO |
State: | CA |
Postal Code: | 917108343 |
Phone Number: | 7142794296 |
Fax Number: | 7142795775 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP5447 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |