Neuropsychology Clinic

LBN: Neuropsychology Clinic
Neuropsychology Clinic is an health care organization with primary practice located at 2804 20Th Ave , Northport AL 35476-3835. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as the primary health care specialty. Neuropsychology Clinic can be contacted via phone (205) 333-1404, or through Prohaska, Mark L via phone (205) 344-6169.

Contact Information

Primary practice address
2804 20Th Ave Northport AL 35476-3835
Phone: (205) 333-1404
Fax: (205) 333-1516
Website:
Map and Directions
Authorized official contact:
Name: Prohaska, Mark L PHD
Phone: (205) 344-6169

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 816 Alabama

Profile Details

NPI number 1093996985
LBN Legal business name Neuropsychology Clinic
DBA Doing business as
Authorized official Prohaska, Mark L PHD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2007
Last updated May 5th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093996985 NPPES
Alabama Other 51504930 BLUE CROSS

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