Healthcare Provider Details

I. General information

NPI: 1497661698
Provider Name (Legal Business Name): ANNA FLEMING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5252 E MAIN ST
MESA AZ
85205-8022
US

IV. Provider business mailing address

2346 E EL MORO CIR
MESA AZ
85204-4544
US

V. Phone/Fax

Practice location:
  • Phone: 480-935-0614
  • Fax:
Mailing address:
  • Phone: 480-849-3875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberTSLP17768
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: