Neuropsychology Clinic

NPI 1093996985 - Clinical Neuropsychologist - 103G00000X

NPI Details
NPI 1093996985
Enumeration Date 11/19/2007
Last Updated 05/05/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARK L MARK
Position DIRECTOR
Phone (205) 333-1404
Fax (205) 333-1516
Practice Location
2804 20TH AVE
NORTHPORT AL, 35476-3835, US
Phone (205) 333-1404
Fax (205) 333-1516
Business Location
2804 20TH AVE
NORTHPORT AL, 35476-3835, US
Phone (205) 333-1404
Fax (205) 333-1516
Toxanomy
Taxonomy Code 103G00000X
License State Alabama
License Number 816
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According to our database, Neuropsychology Clinic NPI is 1093996985, taxonomy code is 103G00000X and license number is 816, license state is located at Alabama. Neuropsychology Clinic physically located at 2804 20th Ave, Northport AL, 35476-3835. NPI Number 1033115704 has the healthcare provider type.

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1093996985 NPI number is provided on an as is basis without warranty of any kind. 1093996985 is maintained by the National Plan & Provider Enumeration System. The contents of Neuropsychology Clinic are for informational purposes only.