Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beverly Gough, MACCCSLP

Individual provider Speech-Language Pathologist · NPI 1790029866

Beverly Gough, MACCCSLP is a Speech-Language Pathologist in Troy, Michigan. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2012

Practice location Address checks out

1635 W Big Beaver Rd
Troy, MI 48084-3501
Phone: (248) 816-7000
Fax: (248) 928-0523
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 6744-SL (MA)

Record details

NPI number1790029866
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP
Sole proprietorYes
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 15, 2012
Mailing address1635 W Big Beaver Rd, Troy, MI 48084-3501

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