Doctor Name: | MRS. COURTNEY LYNN GOUGER |
NPI Number: | 1265595672 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 015154-1 |
Business Practice Address: | 10708 N Gage Rd Barneveld, NY - 133042527 |
Business Phone Number: | 3158962654 |
Business Fax Number: | 3158962717 |
Mailing Address: | 1020 Mary St, UTICA |
State: | NY |
Postal Code: | 135011930 |
Phone Number: | 3157246907 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 07/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 015154-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |