MEDICARE: MRS. TONYA W NEIMEIC MA, CCC-SLP-L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA13616	FL
2	235Z00000X	Speech-Language Pathologist	SL008461	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831389931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TONYA W NEIMEIC MA, CCC-SLP-L

Provider Business Mailing Address
First Line	:	1855 SHERALEE CT
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32128-7467
Country	:	US
Telephone Number	:	386-872-0200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1855 SHERALEE CT
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32128-7467
Country	:	US
Telephone Number	:	386-872-0200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2007
Last Update Date	:	03/10/2026

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Directions to “ MRS. TONYA W NEIMEIC MA, CCC-SLP-L” Practice Location

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