Individual
ALEXIS MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
910 NINA ST, DEXTER, MO 63841-9114
(573) 624-4669
Mailing address
3994 COUNTY ROAD 607, BERNIE, MO 63822-7101
(573) 625-3560
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2024042209
MO
Other
Enumeration date
06/28/2023
Last updated
07/01/2025
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