Provider Demographics
NPI:1396907093
Name:FLEMING, TANIA B (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:TANIA
Middle Name:B
Last Name:FLEMING
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6751 N CAMINO ABBEY
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-2009
Mailing Address - Country:US
Mailing Address - Phone:520-344-9656
Mailing Address - Fax:
Practice Address - Street 1:5151 E PIMA ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-3627
Practice Address - Country:US
Practice Address - Phone:520-232-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP5811235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist