NPI 1093996985

Neuropsychology Clinic

Organisation Clinical Neuropsychologist Northport, AL

Practice location

Address: 2804 20th Ave, Northport, AL 35476-3835
Phone: (205) 333-1404
Fax: (205) 333-1516

Authorised official

Name: Mark L Prohaska
Title: Director
Phone: (205) 344-6169

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 816 (AL)

Other Clinical Neuropsychologist providers in Alabama →

Registry record

NPI: 1093996985
Entity type: Organization
NPI issued: 19 Nov 2007
Record last updated: 5 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.