IndividualActive
Mya Medina, CCC-SLP
NPI 1205560422 · Speech-Language Pathologist · Davenport, FL
Provider details
- NPI number
- 1205560422
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- SA20339 (FL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
40124 Highway 27 Ste 103
Davenport, FL 33837-5905
Phone: (863) 419-2500
Street-level locationGet directions
Mailing address
120 Brad Cir
Winter Haven, FL 33880-4983
Registry dates
- Enumerated
- 2022-07-13
- Last updated
- 2022-07-13
- Certified
- 2022-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.