Healthcare Provider Details

I. General information

NPI: 1790331809
Provider Name (Legal Business Name): VEERLEY PATRICIA MEJIA HERNANDEZ SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2019
Last Update Date: 03/29/2025
Certification Date: 03/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30794 STATE ROAD 54
WESLEY CHAPEL FL
33543-6009
US

IV. Provider business mailing address

8878 PARSONS HILL BLVD
WESLEY CHAPEL FL
33545-2314
US

V. Phone/Fax

Practice location:
  • Phone: 786-378-0158
  • Fax: 813-437-1428
Mailing address:
  • Phone: 786-378-0158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA18041
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: