Gina Roughton, M.S., CCC-SLP
Speech-Language Pathologist, in Bay City, MI. Individual provider (NPI-1).
NPI number1164024279
StatusActive
Last updated in NPPESJun 26, 2024
Details
- NPI
- 1164024279
- Entity type
- Individual (NPI-1)
- Name
- Gina Roughton
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2020
- Certification date
- Jun 26, 2024
- Last updated
- Jun 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 7101008821 | MI | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
2919 Wilder RdBay City, MI 48706-9299
Phone 989-671-5738 · Fax 989-583-1900
Mailing address
6534 McCarty RdSaginaw, MI 48603-9621
Phone 989-798-3118
Other practice locations
6534 McCarty Rd
Saginaw, MI 48603-9621
Saginaw, MI 48603-9621
Phone 989-798-3118
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All 68 Speech-Language Pathologist providers in Bay City · All 2,835 providers in Bay City
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