Provider Demographics
NPI:1215070883
Name:FLEMING, DEBORAH D (MA)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:D
Last Name:FLEMING
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3963 HARTLAND RD
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-8509
Mailing Address - Country:US
Mailing Address - Phone:828-758-1938
Mailing Address - Fax:828-758-1938
Practice Address - Street 1:207 QUEEN ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3341
Practice Address - Country:US
Practice Address - Phone:828-439-8191
Practice Address - Fax:828-439-2622
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1907103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC046HYOtherBCBS
NC017X7OtherBCBS GROUP
NC191819OtherMEDCOST
NC6107198Medicaid