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NeuroLife, L.L.C.

Details

Name: NeuroLife, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 02 Jan 2007 (18 years ago) (Companies founded in January 2007)
Entity Number: 000-488-095
Register Number: 000488095
ZIP code: 35802 (Companies in Madison, 35802)
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 7501 SOUTH MEMORIAL PKY STE 101HUNTSVILLE, AL 35802

Activities NEUROPSYCHOLOGY PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912108838 2007-05-29 2008-07-23 1428 WEATHERLY RD SE, SUITE 111, HUNTSVILLE, AL, 358031181, US 7501 MEMORIAL PKWY SW, SUITE 101, HUNTSVILLE, AL, 358022204, US

Contacts

Phone +1 256-535-2322
Fax 2566505909

Authorized person

Name DR. CAROL P WALKER
Role OWNER
Phone 2565352322

Taxonomy

Taxonomy Code 103G00000X - Clinical Neuropsychologist
License Number 619
State AL
Is Primary Yes
Taxonomy Code 103G00000X - Clinical Neuropsychologist
License Number PSY002462
State GA
Is Primary No
Taxonomy Code 103TC0700X - Clinical Psychologist
License Number 619
State AL
Is Primary No
Taxonomy Code 103TC0700X - Clinical Psychologist
License Number PSY002462
State GA
Is Primary No
Taxonomy Code 103TF0200X - Forensic Psychologist
License Number 619
State AL
Is Primary No
Taxonomy Code 103TF0200X - Forensic Psychologist
License Number PSY002462
State GA
Is Primary No
Taxonomy Code 103TH0100X - Health Service Psychologist
License Number 619
State AL
Is Primary No
Taxonomy Code 103TH0100X - Health Service Psychologist
License Number PSY002462
State GA
Is Primary No
Taxonomy Code 103TR0400X - Rehabilitation Psychologist
License Number 619
State AL
Is Primary No
Taxonomy Code 103TR0400X - Rehabilitation Psychologist
License Number PSY002462
State GA
Is Primary No

Agent

Name Role Address
WALKER, CAROL Agent 25798 NEWBY RDMADISON, AL 35756

Member

Name Role Address
WALKER, CAROL Member 25798 NEWBY RDMADISON, AL 35756

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State