Individual
DELANEY GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1920 BALLENGER AVE STE 107, ALEXANDRIA, VA 22314-6913
(703) 810-5209
(703) 810-5414
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
(804) 968-1803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010649
VA
Other
Enumeration date
02/06/2025
Last updated
07/16/2026
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