Whalio Doctors

NPI 1073663555

Mark Linden Prohaska, PHD

Practitioner Clinical Neuropsychologist Tuscaloosa, AL

Practice location

Address
100 Rice Mine Road Suite 303, Tuscaloosa, AL 35406
Phone
(205) 344-6169
Fax
(205) 344-6171

Registered specialties (2)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 816 (AL)
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 816 (AL)

Registry record

NPI
1073663555
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jan 2007
Record last updated
6 Feb 2009

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.