Doctor Name: | MRS. MOLLY THERESA FLEMING |
NPI Number: | 1053430827 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 44SC05318400 |
Business Practice Address: | 618 S White Horse Pike Audubon, NJ - 081061315 |
Business Phone Number: | 6099322483 |
Business Fax Number: | |
Mailing Address: | 221 Burrwood Ave, HADDON TOWNSHIP |
State: | NJ |
Postal Code: | 081081724 |
Phone Number: | 8568542234 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 44SC05318400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |