1. Home
  2. Directory
  3. Florida
  4. Davenport
  5. Speech Language Pathologist
  6. NPI Profile

MYA LUCERO MEDINA CCC-SLP
NPI 1205560422
Speech-Language Pathologist in Davenport, FL

Active since July 13, 2022
40124 HIGHWAY 27 STE 103, DAVENPORT, FL 33837(863) 419-2500 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mya Lucero Medina Ccc-slp NPPES

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

MYA LUCERO MEDINA CCC-SLP (NPI 1205560422) is an individual speech-language pathologist provider in Davenport, Florida, licensed in Florida (SA20339) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1205560422
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMYA LUCERO MEDINACredential: CCC-SLP
Location Address40124 HIGHWAY 27 STE 103Davenport, FL 33837-5905
Mailing Address120 Brad CirWinter Haven, FL 33880-4983 · (863) 604-9886
Phone(863) 419-2500
Sole ProprietorYes
Enumeration DateJuly 13, 2022
NPPES CertifiedJuly 13, 2022
✔ NPI 1205560422 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 FL · SA20339
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.
40124 HIGHWAY 27 STE 103, Davenport, FL 33837
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GINA BONGIRNO OTR/L
Occupational Therapist
40124 HIGHWAY 27 STE 103
DAVENPORT, FL 33837
Polk County (863) 419-2500
MRS. STACIE PAOLILLO BARRANCO PT
Physical Therapist
40124 HIGHWAY 27 STE 103
DAVENPORT, FL 33837
Polk County (863) 419-2500
VALERIE O'TOOLE
Speech-Language Pathologist
40124 HIGHWAY 27 STE 103
DAVENPORT, FL 33837
Polk County (863) 419-2503

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 Mya Medina's NPI number?

The NPI number for Mya Medina is 1205560422. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Mya Medina located?

Mya Medina practices at 40124 Highway 27 Ste 103, Davenport, FL 33837. The listed phone number is (863) 419-2500.

What is Mya Medina'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 Mya Medina was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.