Janene Noelle Gough, is a
Speech-language Pathologist based in Santa Clara, Utah. Janene Noelle Gough is licensed to practice in * (Not Available) (license number ) and her current practice location is
2500 Arch Cir, Santa Clara, Utah. She can be reached at her office (for appointments etc.) via phone at
(435) 632-3551.
NPI number for Janene Noelle Gough is 1104650258 and her current mailing address is 2500 Arch Cir, Santa Clara, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104650258.
Healthcare Provider's Profile
| Full Name | Janene Noelle Gough |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 2500 Arch Cir, Santa Clara, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104650258
- Provider Enumeration Date: 08/30/2024
- Last Update Date: 08/30/2024
Medical Identifiers
Medical identifiers for Janene Noelle Gough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104650258 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | 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. Janene Noelle 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 |
|---|
Janene Noelle Gough,
2500 Arch Cir,
Santa Clara, UT 84765-5538
Ph: (435) 632-3551 | Janene Noelle Gough,
2500 Arch Cir,
Santa Clara, UT 84765-5538
Ph: (435) 632-3551 |
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