Individual
HEATHER S. MESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1222 WINTER GARDEN VINELAND RD STE 112, WINTER GARDEN, FL 34787-4449
(407) 877-0029
Mailing address
13922 MAGNOLIA RIDGE LOOP, WINTER GARDEN, FL 34787-5371
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889691700
—
FL
Enumeration date
09/26/2006
Last updated
07/23/2025
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