Healthcare Provider Details

I. General information

NPI: 1821918939
Provider Name (Legal Business Name): BECKY LUNA M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2026
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

687 W LUMSDEN RD
BRANDON FL
33511-5911
US

IV. Provider business mailing address

529 S PARSONS AVE APT 1103
BRANDON FL
33511-6006
US

V. Phone/Fax

Practice location:
  • Phone: 813-643-1389
  • Fax:
Mailing address:
  • Phone: 732-690-9974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA24792
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: