Healthcare Provider Details

I. General information

NPI: 1649185976
Provider Name (Legal Business Name): BRITTANY FLEMING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

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

927 SOUTH ST UNIT A
ETNA OH
43062-6014
US

IV. Provider business mailing address

927 SOUTH ST UNIT A
ETNA OH
43062-6014
US

V. Phone/Fax

Practice location:
  • Phone: 740-927-3941
  • Fax:
Mailing address:
  • Phone: 740-927-3941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberOH3151551
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: