Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersMR. 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 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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