Kylie Madison Gough, is a
Marriage & Family Therapist based in Rosedale, Maryland. Kylie Madison Gough is licensed to practice in Maryland (license number 1156) and her current practice location is
9627 Philadelphia Rd Ste 160, Rosedale, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 780-5203.
NPI number for Kylie Madison Gough is 1982564035 and her current mailing address is 9627 Philadelphia Rd Ste 160, Rosedale, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982564035.
Healthcare Provider's Profile
| Full Name | Kylie Madison Gough |
|---|
| Gender | Female |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 9627 Philadelphia Rd Ste 160, Rosedale, Maryland |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982564035
- Provider Enumeration Date: 11/12/2025
- Last Update Date: 11/12/2025
Medical Identifiers
Medical identifiers for Kylie Madison Gough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1982564035 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 1156 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kylie Madison Gough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kylie Madison Gough, 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237-4157 Ph: (410) 780-5203 | Kylie Madison Gough, 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237-4157 Ph: (410) 780-5203 |
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