| Doctor Name: | ELLEN MAYFIELD-FLEMING |
| NPI Number: | 1104071927 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MALLP |
| License Number: | 6301010626 |
| Business Practice Address: | 42669 Garfield Rd Clinton Twp, MI - 480385036 |
| Business Phone Number: | 5864125321 |
| Business Fax Number: | |
| Mailing Address: | 12850 Fountain Sq, DAVISBURG |
| State: | MI |
| Postal Code: | 483502552 |
| Phone Number: | 2486346303 |
| Fax Number: | |
| NPI Enumeration Date: | 11/20/2008 |
| NPI Last Update Date: | 11/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301010626 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |