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MR. SAMUEL E. FLEMING PH.D.

Clinical Neuropsychologist

Tupelo, Mississippi

Provider NPI: 1285614370

Provider Information:
MR. SAMUEL E. FLEMING PH.D.
Gender: M
Not Sole Proprietor

Practice Location:
211 N MADISON ST  TUPELO, MS 38804 US
Tel: 662-844-9003  Fax: 662-844-9304

Business Mailing Address:
211 N MADISON ST  TUPELO, MS 38804 US
Tel: 662-844-9003  Fax: 662-844-9304

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
AL661
X103T00000XBehavioral Health & Social Service Providers
Psychologist
MS46805

Other Provider Identifiers:

IssuerNumberStateType
R36119AL02
01854707MS05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS MS - Page 1

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