Search › Michigan › 235Z00000X
Beverly Gough, MA CCC SLP
NPI 1790029866 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1635 W Big Beaver Rd
Troy, MI 48084 - Phone
- (248) 816-7000
- Fax
- (248) 928-0523
- Organisation at this address
- Language Learning Technologies, Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-11-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan