| Doctor Name: | LYDIA FLEMING |
| NPI Number: | 1750786034 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED. CCC-SLP |
| License Number: | SLP008729 |
| Business Practice Address: | 2455 Oak Grove Church Rd Carrollton, GA - 301179513 |
| Business Phone Number: | 7708341737 |
| Business Fax Number: | 7708363727 |
| Mailing Address: | 1223 Meadowood Ln, DOUGLASVILLE |
| State: | GA |
| Postal Code: | 301358812 |
| Phone Number: | 7063600235 |
| Fax Number: | |
| NPI Enumeration Date: | 10/28/2014 |
| NPI Last Update Date: | 05/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP008729 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |