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:

Primary	Code	Category/Description	State	License Number
X	103G00000X	Behavioral Health & Social Service Providers Clinical Neuropsychologist	AL	661
X	103T00000X	Behavioral Health & Social Service Providers Psychologist	MS	46805

Other Provider Identifiers:

Issuer	Number	State	Type
	01854707	MS	05

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

corrections    © cis    contact    copyright    privacy
job search by