| Doctor Name: | MR. ROBERT OTIS BRANCH |
| NPI Number: | 1366580862 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | SPEECH PATHOLOGIST |
| License Number: | SLP0644 |
| Business Practice Address: | 11279 W. Grier Rd. Musd Special Education, Marana, AZ - 85653 |
| Business Phone Number: | 5206824782 |
| Business Fax Number: | 5206824818 |
| Mailing Address: | 14450 N Swan Rd, TUCSON |
| State: | AZ |
| Postal Code: | 857399103 |
| Phone Number: | 5208252956 |
| Fax Number: | |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP0644 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| 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 |