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Neuropsychological Services, L.L.C.

Details

Name: Neuropsychological Services, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 08 Dec 1999 (25 years ago) (Companies founded in December 1999)
Entity Number: 000-667-515
Register Number: 000667515
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: HOMEWOOD, AL
Registered Office Street Address: ONE LAKESHORE DR STE 200HOMEWOOD, AL 35209

Activities PRACTICE PSYCHOLOGY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629115373 2007-01-31 2011-07-15 PO BOX 660685, BIRMINGHAM, AL, 352660685, US 1 W LAKESHORE DR, SUITE 201, BIRMINGHAM, AL, 352090500, US

Contacts

Phone +1 205-979-5882
Fax 2059791248
Phone +1 205-602-9980
Fax 2055928835

Authorized person

Name DR. WILLIAM B MENEESE
Role PRESIDENT
Phone 2056029980

Taxonomy

Taxonomy Code 103T00000X - Psychologist
License Number 647
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 529905250
State AL

Agent

Name Role
MENEESE, WILLIAM B Agent

Member

Name Role
MENEESE, WILLIAM B Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State