Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mikayla Danielle Roth, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1861169336

Mikayla Danielle Roth, CCC-SLP is a Speech-Language Pathologist in Festus, Missouri. Licensed in Missouri. Registered with an NPI since 2021.

Licensed in
MO
In the registry since
2021
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1371 YMCA Dr
Festus, MO 63028-2617
Phone: (636) 465-0726
Fax: (636) 465-0747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2021034058 (MO)

Record details

NPI number1861169336
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 24, 2021
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024

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