Fleming, Samuel E.

Fleming, Samuel E. is an individual health care provider with primary practice located at 211 N Madison St , Tupelo MS 38804-3807. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Fleming, Samuel E. can be contacted via phone (662) 844-9003.

Contact Information

Primary practice address
211 N Madison St Tupelo MS 38804-3807
Phone: (662) 844-9003
Fax: (662) 844-9304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 661 Alabama
Behavioral Health & Social Service Providers / Psychologist 103T00000X 46805 Mississippi

Profile Details

NPI number 1285614370
LBN Legal business name Fleming, Samuel E.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285614370 NPPES
Mississippi MEDICAID 01854707

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