Individual
MRS. THERESA MARIA MCGILLIVRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CCC
Contact information
Practice address
W330S6473 COUNTY RD E, NORTH PRAIRIE, WI 53153-9460
(262) 392-6310
Mailing address
385 E VETERANS WAY, MUKWONAGO, WI 53149-2038
(262) 392-6310
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2305-154
WI
Other
Enumeration date
12/27/2006
Last updated
06/10/2026
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