MS. Tina Lea Mayberry, SLP
NPI #1669777447 in Mc Leansboro, Illinois
Provider Information
- NPI Number
- 1669777447
- Entity Type
- Individual
- Name
- MS. Tina Lea Mayberry, SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP
- Enumeration Date
- Jan 25, 2011
- Last Updated
- Jan 25, 2011
Practice Location
- Address
- 107 SUNSET DR
- City
- Mc Leansboro
- State
- Illinois
- ZIP Code
- 62859-1231
- Phone
- (618) 643-5005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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