BEVERLY GOUGH (NPI# 1790029866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790029866 |
| Entity Type | Individual |
| Full Name | BEVERLY GOUGH |
| Credential | MA CCC SLP |
| Practice Address |
1635 W Big Beaver Rd Troy MI 48084-3501 |
| Practice Telephone | 2488167000 |
| Practice Fax Number | 2489280523 |
| Mailing Telephone | 2488167000 |
| Mailing Fax Number | 2489280523 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 6744-SL | MA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811063142 | Beverly Anne Gough | Optometrist | 1950 Old Gallows Rd, Suite 520, Vienna, VA 22182-3990 | 2006-11-28 |
| Street Address |
1635 W BIG BEAVER RD |
| City | TROY |
| State | MI |
| Zip Code | 48084-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285623496 | Language Learning Technologies, Ltd | Speech-Language Pathologist | 1635 W Big Beaver Rd, Troy, MI 48084-3501 | 2005-10-19 |
| 1114331956 | Tiffany Inman | Audiologist | 1635 W Big Beaver Rd, Troy, MI 48084-3501 | 2014-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480516 | Now We're Talking Pllc | Speech-Language Pathologist | 3847 Kings Point Dr, Troy, MI 48083-5320 | 2020-09-08 |
| 1891308664 | Theresa Ann Dahmer | Speech-Language Pathologist | 5105 Somerton Dr, Troy, MI 48085-3252 | 2020-08-31 |
| 1336770577 | Bailey Shafer | Speech-Language Pathologist | 8294 Castle Ridge Dr, Troy, IL 62294-2860 | 2020-01-27 |
| 1629618236 | Karly Marie Chasney | Speech-Language Pathologist | 205 W Square Lake Rd, Troy, MI 48098-2931 | 2020-01-11 |
| 1497300586 | Jodi Niehoff | Speech-Language Pathologist | 1190 Old Cap Au Gris Rd, Troy, MO 63379-2300 | 2019-08-06 |
| 1548829039 | Jill Nicole Elliott | Speech-Language Pathologist | 59 Harris Rd Apt 103, Troy, NY 12182-1644 | 2019-06-10 |
| 1902462310 | Monica S Marciniak | Speech-Language Pathologist | 830 Kirts Blvd # 305, Troy, MI 48084-4892 | 2019-05-13 |
| 1205330941 | Marcia Diane Exner | Speech-Language Pathologist | 5877 Livernois Rd Ste 101, Troy, MI 48098-3100 | 2018-03-19 |
| 1356843411 | Elizabeth Mikolajczak | Speech-Language Pathologist | 3756 Forge Dr, Troy, MI 48083-5640 | 2018-03-05 |
| 1619483922 | Lauren Williams | Speech-Language Pathologist | 174 Dogwood Ave, Troy, NC 27371-8528 | 2017-12-21 |
| Find all providers in TROY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.