Neuropsychology Clinic in Northport - Clinical Neuropsychologist
Neuropsychology Clinic - NPI 1093996985
Neuropsychology Clinic is a Clinical Neuropsychologist in Northport, Alabama. Neuropsychology Clinic practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Neuropsychology Clinic is 1093996985. The last update date is 2010-05-05.
Neuropsychology Clinic's current location address is 2804 20th Ave, Northport, Alabama. You can contact this provider via phone number 2053331404 and fax number 2053331516. The mailing address for Neuropsychology Clinic is 2804 20th Ave, Northport, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Neuropsychology Clinic |
|---|---|
| Address | 2804 20th Ave, Northport, Alabama |
| Phone Number | 2053331404 |
| Fax Number | 2053331516 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Prohaska L Mark |
| Credentials | PHD |
| Telephone Number | 2053446169 |
NPI Number Detail
| NPI Number | 1093996985 |
|---|---|
| Provider Enumeration Date | 2007-11-19 |
| Last Updated Date | 2010-05-05 |
Provider Mailing Address Detail
| Address | 2804 20th Ave |
|---|---|
| City | Northport |
| State | Alabama (AL) |
| Post Code | 354763835 |
| Phone Number | 2053331404 |
| Fax Number | 2053331516 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 816 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51504930 | AL | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Neuropsychology Clinic by the Centers for Medicare & Medicaid Services?
The Neuropsychology Clinic has been issued the NPI (National Provider Identifier) 1093996985 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Neuropsychology Clinic's facilities are geographically located?
The facilities of Neuropsychology Clinic are physically situated at the following location: 2804 20Th Ave, Northport, AL, 354763835.
What is Neuropsychology Clinic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Neuropsychology Clinic's area of specialization is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this field of practice is 103G00000X.
When was the Neuropsychology Clinic's 1093996985 issued?
The Neuropsychology Clinic's 1093996985 was issued on 2007-11-19.
When was the information regarding Neuropsychology Clinic most recently updated?
The details pertaining to the Neuropsychology Clinic, including its address, specialty, and other relevant information, were last refreshed on 2010-05-05.