Provider Demographics
NPI:1053117077
Name:FLEMING, JAMES T (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:T
Last Name:FLEMING
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 72
Mailing Address - Street 2:
Mailing Address - City:GARRETT PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20896-0072
Mailing Address - Country:US
Mailing Address - Phone:240-426-2110
Mailing Address - Fax:
Practice Address - Street 1:11110 ROKEBY AVE
Practice Address - Street 2:
Practice Address - City:GARRETT PARK
Practice Address - State:MD
Practice Address - Zip Code:20896-1515
Practice Address - Country:US
Practice Address - Phone:240-426-2110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03395103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical