Individual
MRS. BETHANY HARRELSON GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
950 E COUNTY LINE RD, SUITE E, RIDGELAND, MS 39157-1928
(601) 853-9747
(601) 898-4761
Mailing address
950 E COUNTY LINE RD, SUITE E, RIDGELAND, MS 39157-1928
(601) 853-9747
(601) 898-4761
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3346
MS
Other
Enumeration date
04/12/2010
Last updated
09/22/2015
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