| Doctor Name: | TERRI ANN BRANHAM |
| NPI Number: | 1982012753 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC, SP8915 |
| License Number: | SP8915 |
| Business Practice Address: | 22899 Canyon Lake Dr N Canyon Lake, CA - 925878015 |
| Business Phone Number: | 9518218229 |
| Business Fax Number: | |
| Mailing Address: | 22899 Canyon Lake Dr N, CANYON LAKE |
| State: | CA |
| Postal Code: | 925878015 |
| Phone Number: | 9516094614 |
| Fax Number: | |
| NPI Enumeration Date: | 07/24/2014 |
| NPI Last Update Date: | 07/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP8915 |
| 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 |