Provider Demographics
NPI:1497906804
Name:FLEMING, PAMELA L (AUD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:L
Last Name:FLEMING
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 MILITARY RD
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-1745
Mailing Address - Country:US
Mailing Address - Phone:716-297-4444
Mailing Address - Fax:716-297-4111
Practice Address - Street 1:1629 MILITARY RD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-1745
Practice Address - Country:US
Practice Address - Phone:716-297-4444
Practice Address - Fax:716-297-4111
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002176-1231H00000X
NY14000025524237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter