Individual provider · Type 1 NPI
Stacy Marie Tully
Speech-Language Pathologist · Jefferson, WI
Practice location
217 Meadow Ct
Jefferson, WI 53549-1184
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 14036174 (WI) |
Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…
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About NPI 1194644765
Stacy Marie Tully's National Provider Identifier is 1194644765, issued on Jul 15, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Jefferson, WI. The record was last updated on Jul 15, 2026.