LARAE A MCGILLIVRAY MS CCCSLP
NPI 1003908682
Speech-Language Pathologist in Moorhead, MN

Active since September 29, 2006
1104 7TH AVE S, MSUM BOX 119, MOORHEAD, MN 56563(218) 477-4639(218) 477-4392 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larae A Mcgillivray Ms Cccslp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARAE A MCGILLIVRAY MS CCCSLP (NPI 1003908682) is an individual speech-language pathologist provider in Moorhead, Minnesota, licensed in Minnesota (7234) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1003908682
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLARAE A MCGILLIVRAYCredential: MS CCCSLP
Location Address1104 7TH AVE S, MSUM BOX 119Moorhead, MN 56563-0001
Mailing Address1104 7th Ave S, Msum Box 119Moorhead, MN 56563-0001 · (218) 477-4639 · Fax (218) 477-4392
Fax(218) 477-4392
Sole ProprietorNo
Enumeration DateSeptember 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1003908682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in MN · 7234
Definition
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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1104 7TH AVE S, Moorhead, MN 56563

Other Identifiers 3

Other18429ND · Nd Bcbs
Other61B52MCMN · Mn Bcbs
Medicaid51837ND

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1104 7TH AVE S
MOORHEAD, MN 56563
Student in an Organized Health Care Education/Training Program
1104 7TH AVE S
MOORHEAD, MN 56563
Massage Therapist
1104 7TH AVE S
MOORHEAD, MN 56563
Speech-Language Pathologist
1104 7TH AVE S, MSUM BOX 119
MOORHEAD, MN 56563
Clinic/Center
1104 7TH AVE S
MOORHEAD, MN 56563
Pharmacist
1104 7TH AVE S
MOORHEAD, MN 56563
Specialist/Technologist (Athletic Trainer)
1104 7TH AVE S, MINNESOTA STATE UNIVERSITY MOORHEAD
MOORHEAD, MN 56563
Counselor (Professional)
1104 7TH AVE S
MOORHEAD, MN 56563

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larae Mcgillivray's NPI number?

The NPI number for Larae Mcgillivray is 1003908682. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Larae Mcgillivray located?

Larae Mcgillivray practices at 1104 7th Ave S Msum Box 119, Moorhead, MN 56563. The listed phone number is (218) 477-4639.

What is Larae Mcgillivray's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Larae Mcgillivray was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.