Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Stacy Marie Tully

Individual provider Speech-Language Pathologist · NPI 1194644765

Mrs. Stacy Marie Tully is a Speech-Language Pathologist in Jefferson, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2026.

Licensed in
WI
In the registry since
2026
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Practice location Address checks out

217 Meadow Ct
Jefferson, WI 53549-1184
Phone: (920) 988-3482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 14036174 (WI)

Record details

NPI number1194644765
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2026
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

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