MEDICARE: AUDREY FLEMING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1114890605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUDREY FLEMING

Provider Business Mailing Address
First Line	:	42452 DHARTE CT
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48038-6439
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	876 HORACE BROWN DR STE 101
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-1862
Country	:	US
Telephone Number	:	248-965-3916
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	09/29/2025

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Directions to “ AUDREY FLEMING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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