Brianna N Gough, is a
Speech-language Pathologist based in Middletown Township, New Jersey. Brianna N Gough is licensed to practice in New Jersey (license number TL-4333) and her current practice location is
671 Nj-35, Middletown Township, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(732) 333-1355.
NPI number for Brianna N Gough is 1417725813 and her current mailing address is 107 G St, Brick, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417725813.
Healthcare Provider's Profile
| Full Name | Brianna N Gough |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 671 Nj-35, Middletown Township, New Jersey |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417725813
- Provider Enumeration Date: 12/14/2023
- Last Update Date: 03/05/2024
Medical Identifiers
Medical identifiers for Brianna N Gough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417725813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | TL-4333 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brianna N Gough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brianna N Gough,
107 G St,
Brick, NJ 08723-7218
Ph: (848) 210-6411 | Brianna N Gough,
671 Nj-35,
Middletown Township, NJ 07748
Ph: (732) 333-1355 |
Reviews and Comments