MS. TINA LEA MAYBERRY SLP
NPI 1669777447
Speech-Language Pathologist in Mc Leansboro, IL

Q: What is Tina Mayberry's NPI number?

The NPI number for Tina Mayberry is 1669777447. It was assigned to this individual provider in the NPPES registry on January 25, 2011.

Q: What is Tina Mayberry's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tina Mayberry was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since January 25, 2011

107 SUNSET DR, MC LEANSBORO, IL 62859(618) 643-5005(618) 241-7039 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Ms. Tina Lea Mayberry Slp NPPES

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

MS. TINA LEA MAYBERRY SLP (NPI 1669777447) is an individual speech-language pathologist provider in Mc Leansboro, Illinois, licensed in Illinois (146005061) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1669777447

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMS. TINA LEA MAYBERRYCredential: SLP

Location Address107 SUNSET DRMc Leansboro, IL 62859-1231

Mailing Address107 Sunset DrMc Leansboro, IL 62859-1231 · (618) 643-5005 · Fax (618) 241-7039

Phone(618) 643-5005

Fax(618) 241-7039

Sole ProprietorNo

Enumeration DateJanuary 25, 2011

✔ NPI 1669777447 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 IL · 146005061

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.

107 SUNSET DR, Mc Leansboro, IL 62859

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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 Tina Mayberry's NPI number?

The NPI number for Tina Mayberry is 1669777447. It was assigned to this individual provider in the NPPES registry on January 25, 2011.

Where is Tina Mayberry located?

Tina Mayberry practices at 107 Sunset Dr, Mc Leansboro, IL 62859. The listed phone number is (618) 643-5005.

What is Tina 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 Tina Mayberry was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.