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Active NPI 1790029866 Individual Practitioner Female Practitioner

Beverly Gough , MA CCC SLP

Speech-Language Pathologist • Troy, MI

Professional Overview & Biography Verified Profile Summary

Beverly Gough, MA CCC SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Troy, MI. Practice services are available at 1635 W BIG BEAVER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1635 W Big Beaver Rd

Troy, MI 480843501

Telephone 2488167000
Fax 2489280523
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Troy, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
89 Specialists

Practicing in Troy, MI (3778 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MA 6744-SL

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1114331956

Doctor of Audiology, CCCAFAAA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 15, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2012

Registered at 1635 W BIG BEAVER RD, TROY, MI 480843501 (Tel: 2488167000)

📍
Updated Business Mailing Address November 15, 2012

Registered at 1635 W BIG BEAVER RD, TROY, MI 480843501 (Tel: 2488167000)

👤
Provider Name / Credentials Updated November 15, 2012

Recorded as BEVERLY GOUGH, MA CCC SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2012

Speech-Language Pathologist (License #6744-SL in MA)

🟢
Initial NPI Registration & Enumeration November 15, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1790029866
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2012
Last Update: November 15, 2012
Sole Proprietor: Yes

Mailing Address

1635 W Big Beaver Rd

Troy, MI 480843501

Phone: 2488167000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.