Beverly Gough, MA CCC SLP
NPI 1790029866ActiveIndividual· Speech-Language Pathologist· Troy, MI
Speech-Language Pathologist (MA CCC SLP) in Troy, Michigan, licensed in MA, with an NPI issued in November 2012.
Overview
| NPI | 1790029866 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA CCC SLP |
| Sole proprietor | Yes |
| NPI issued | Nov 15, 2012 |
| Last updated in NPPES | Nov 15, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 6744-SL | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Speech-Language Pathologist providers in Troy
- 1871294579
- 1881977338
- 1528605300
- 1295174886
- 1437744117
- 1285623496
- 1609480516
- 1285705095
- 1427661537
- 1881331064
- 1831005032
- 1265326763