Provider Demographics
NPI:1497132971
Name:FLEMING, ANN (MA)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
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 1:315 N WEBER ST STE 300
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1241
Mailing Address - Country:US
Mailing Address - Phone:719-270-1428
Mailing Address - Fax:
Practice Address - Street 1:315 N WEBER ST STE 300
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-1241
Practice Address - Country:US
Practice Address - Phone:719-270-1428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-04
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
COMSMFT.0000006106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist