Individual
MS. TARYN LORRAINE GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9710
Mailing address
3749 SILVER RIDGE DR, SAINT PETERS, MO 63376-6845
(636) 578-7077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2025000368
MO
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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