Organization
LANGUAGE LEARNING TECHNOLOGIES, LTD
Active
Organization
LANGUAGE LEARNING TECHNOLOGIES, LTD
Active
Other names
Center for Speech & Language
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY PHELAN GOUGH CCC SLP (DIRECTOR/OWNER)
(248) 816-7000
Entity
Organization
Contact information
Practice address
1635 W BIG BEAVER RD, TROY, MI 48084-3501
(248) 816-7000
(248) 816-8040
Mailing address
1635 W BIG BEAVER RD, TROY, MI 48084-3501
(248) 816-7000
(248) 816-8040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MI
Other
Enumeration date
10/19/2005
Last updated
08/22/2020
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