| Doctor Name: | TAMERA MARTINO FLECK |
| NPI Number: | 1053649681 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LCS23477 |
| Business Practice Address: | 1244 San Elijo Rd N San Marcos, CA - 920781086 |
| Business Phone Number: | 7605176257 |
| Business Fax Number: | 7605932699 |
| Mailing Address: | 1501 San Elijo Rd S, #104-117 SAN MARCOS |
| State: | CA |
| Postal Code: | 920782047 |
| Phone Number: | 7605176257 |
| Fax Number: | 7605932699 |
| NPI Enumeration Date: | 11/19/2009 |
| NPI Last Update Date: | 03/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS23477 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |