Individual
GINA ROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2919 WILDER RD, BAY CITY, MI 48706-9299
(989) 671-5738
(989) 583-1900
Mailing address
6534 MCCARTY RD, SAGINAW, MI 48603-9621
(989) 798-3118
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
7101008821
MI
Other
Enumeration date
11/13/2020
Last updated
06/26/2024
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