Individual
MR. SAMUEL E. FLEMING III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
211 N MADISON ST, TUPELO, MS 38804-3807
(662) 844-9003
(662) 844-9304
Mailing address
211 N MADISON ST, TUPELO, MS 38804-3807
(662) 844-9003
(662) 844-9304
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
661
AL
103T00000X
Psychologist
Primary
46805
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01854707
—
MS
Enumeration date
01/17/2006
Last updated
09/11/2025
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