MEDICARE: MISS ALEXA LYNN BARRY MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	08854	MD
2	235Z00000X	Speech-Language Pathologist	15481	NC

General Provider Information

NPI Number	:	1023534948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ALEXA LYNN BARRY MS

Provider Business Mailing Address
First Line	:	2013 PHOEBUS ST
Second Line	:
City	:	KILL DEVIL HILLS
State	:	NC
Zip	:	27948-9367
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3210 N CROATAN HWY STE 1
Second Line	:
City	:	KILL DEVIL HILLS
State	:	NC
Zip	:	27948-8516
Country	:	US
Telephone Number	:	704-654-8599
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2017
Last Update Date	:	12/08/2025

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Directions to “ MISS ALEXA LYNN BARRY MS” Practice Location

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