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ALEXIS MAYBERRY CCC-SLP
NPI 1114604634
Speech-Language Pathologist in Dexter, MO

Active since June 28, 2023

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2025, Jun 26, 2025 (2 updates tracked since 2025).

About Alexis Mayberry Ccc-slp NPPES

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

ALEXIS MAYBERRY CCC-SLP (NPI 1114604634) is an individual speech-language pathologist provider in Dexter, Missouri, licensed in Missouri (2024042209) and active in the NPI registry since June 2023. She maintains a secondary practice location in Clarkton.

NPPES Registry Identity

NPI1114604634
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameALEXIS MAYBERRYCredential: CCC-SLP
Location Address910 NINA STDexter, MO 63841-9114
Mailing Address3994 County Road 607Bernie, MO 63822-7101 · (573) 625-3560
Phone(573) 624-4669
Sole ProprietorNo
Enumeration DateJune 28, 2023
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1114604634 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 MO · 2024042209
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.
910 NINA ST, Dexter, MO 63841
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Secondary Practice Location 1

Location 1111 Hwy 162Clarkton, MO 63837 · Phone (573) 448-3773

Other Providers at the Same Location NPPES

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

JULIE PALMER MS,CCC/SLP-L
Speech-Language Pathologist
910 NINA ST
DEXTER, MO 63841
Stoddard County (573) 624-4669

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 Alexis Mayberry's NPI number?

The NPI number for Alexis Mayberry is 1114604634. It was assigned to this individual provider in the NPPES registry on June 28, 2023.

Where is Alexis Mayberry located?

Alexis Mayberry practices at 910 Nina St, Dexter, MO 63841. The listed phone number is (573) 624-4669.

What is Alexis Mayberry'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 Alexis Mayberry was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.