Individual provider · Type 1 NPI

Mya Lucero Medina, CCC-SLP

Speech-Language Pathologist · Davenport, FL

NPI number 1205560422 Active

Practice location

40124 Highway 27 Ste 103
Davenport, FL 33837-5905

Call (863) 419-2500 Map

Mailing address

120 Brad Cir
Winter Haven, FL 33880-4983

Specialties and licenses

Taxonomy	Code	License
Speech-Language Pathologist Primary	235Z00000X	SA20339 (FL)

Speech-Language Pathologist: 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, resonan…

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About NPI 1205560422

Mya Lucero Medina, CCC-SLP's National Provider Identifier is 1205560422, issued on Jul 13, 2022. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Davenport, FL. The record was last updated on Jul 13, 2022.