| Birmingham Neuropsychology | |
|
2018 Brookwood Medical Ctr Dr Pob Suite 310 Birmingham AL 35209-6898 | |
| (205) 329-7815 | |
| Not Available |
| Full Name | Birmingham Neuropsychology |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2018 Brookwood Medical Ctr Dr, Birmingham, Alabama |
| Authorized Official Name and Position | Richard L Azrin (OWNER) |
| Authorized Official Contact | 2053297815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Birmingham Neuropsychology 2018 Brookwood Medical Ctr Dr Pob Suite 310 Birmingham AL 35209-6898 Ph: (205) 329-7815 | Birmingham Neuropsychology 2018 Brookwood Medical Ctr Dr Pob Suite 310 Birmingham AL 35209-6898 Ph: (205) 329-7815 |
| NPI Number | 1003039751 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1153340351 |
|---|---|
| Medicare Enrollment ID | O20051116001085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003039751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 819 (Alabama) | Primary |
| Provider Name | Cheryl Millsaps Azrin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205917788 PECOS PAC ID: 1153596515 Enrollment ID: I20111213000689 |
| Provider Name | Richard L Azrin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003905787 PECOS PAC ID: 4981626645 Enrollment ID: I20111221000361 |
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