Provider Demographics
NPI:1538396247
Name:FLEMING, HALI HANNA (MA, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:HALI
Middle Name:HANNA
Last Name:FLEMING
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 PARK ST
Mailing Address - Street 2:BOX 477
Mailing Address - City:BAKER CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97814-1626
Mailing Address - Country:US
Mailing Address - Phone:541-524-9935
Mailing Address - Fax:
Practice Address - Street 1:955 PARK ST
Practice Address - Street 2:BOX 477
Practice Address - City:BAKER CITY
Practice Address - State:OR
Practice Address - Zip Code:97814-1626
Practice Address - Country:US
Practice Address - Phone:541-524-9935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-19
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR12826235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist