Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Neuropsychology Clinic

Organization Clinical Neuropsychologist · NPI 1093996985

Neuropsychology Clinic is a Clinical Neuropsychologist in Northport, Alabama. Licensed in Alabama. Registered with an NPI since 2007.

Licensed in
AL
In the registry since
2007

Practice location Address checks out

2804 20th Ave
Northport, AL 35476-3835
Phone: (205) 333-1404
Fax: (205) 333-1516
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 816 (AL)

Record details

NPI number1093996985
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Prohaska — Director · (205) 344-6169
NPI enumeratedNovember 19, 2007
Last updated in NPPESMay 5, 2010
Mailing address2804 20th Ave, Northport, AL 35476-3835