Gough, Beverly

Gough, Beverly is an sole proprietor health care provider with primary practice located at 1635 W Big Beaver Rd , Troy MI 48084-3501. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gough, Beverly can be contacted via phone (248) 816-7000.

Contact Information

Primary practice address
1635 W Big Beaver Rd Troy MI 48084-3501
Fax: (248) 928-0523
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 6744-SL Massachusetts

Profile Details

NPI number 1790029866
LBN Legal business name Gough, Beverly
Credentials MA CCC SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2012
Last updated Nov 15th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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