Provider Demographics
NPI:1548864176
Name:FLEMMINGS, SHELEE-ANN MARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:SHELEE-ANN
Middle Name:MARIE
Last Name:FLEMMINGS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10321 W OUTER DR
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48223-2147
Mailing Address - Country:US
Mailing Address - Phone:313-268-2977
Mailing Address - Fax:
Practice Address - Street 1:39393 VAN DYKE AVE STE 209
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-4637
Practice Address - Country:US
Practice Address - Phone:313-268-2977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6351004115103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling