Healthcare Provider Details

I. General information

NPI: 1508790361
Provider Name (Legal Business Name): FLEMING PSYCHOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BOARDWALK DR UNIT 5A
FORT COLLINS CO
80525-3093
US

IV. Provider business mailing address

300 BOARDWALK DR UNIT 5A
FORT COLLINS CO
80525-3093
US

V. Phone/Fax

Practice location:
  • Phone: 970-223-2256
  • Fax: 970-223-2324
Mailing address:
  • Phone: 970-223-2256
  • Fax: 970-223-2324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE MCCLOUD
Title or Position: OFFICE MANAGER
Credential:
Phone: 970-223-2256