Provider Demographics
NPI:1366551475
Name:FLEMING, SHERRY D (EDD)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:D
Last Name:FLEMING
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 COUNTY ROAD 332
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-7114
Mailing Address - Country:US
Mailing Address - Phone:325-692-1530
Mailing Address - Fax:325-692-3318
Practice Address - Street 1:170 COUNTY ROAD 332
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-7114
Practice Address - Country:US
Practice Address - Phone:325-692-1530
Practice Address - Fax:325-692-3318
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23771103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00J89POtherBC