Doctor Name: | PATRICIA FLEMING |
NPI Number: | 1467548107 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 687 |
Business Practice Address: | 178 Camino Rayo Del Sol Corrales, NM - 87048 |
Business Phone Number: | 5057923002 |
Business Fax Number: | 5059942373 |
Mailing Address: | 4801 Lang Ave Ne, Suite 110 ALBUQUERQUE |
State: | NM |
Postal Code: | 871094475 |
Phone Number: | 5059942375 |
Fax Number: | 5059942373 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 687 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |