| Doctor Name: | DR. JASON S. FLEMING |
| NPI Number: | 1013192160 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D |
| License Number: | NJ PERMIT 043-492 |
| Business Practice Address: | 25 N Doughty Ave Somerville, NJ - 088761811 |
| Business Phone Number: | 9085261177 |
| Business Fax Number: | 9085263139 |
| Mailing Address: | 25 N Doughty Ave, SOMERVILLE |
| State: | NJ |
| Postal Code: | 088761811 |
| Phone Number: | 9085261177 |
| Fax Number: | 9085263139 |
| NPI Enumeration Date: | 01/08/2008 |
| NPI Last Update Date: | 01/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | NJ PERMIT 043-492 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |