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Birmingham Neuropsychology, L.L.C.

Details

Name: Birmingham Neuropsychology, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 19 Jun 2000 (24 years ago)
Entity Number: 000-670-458
Register Number: 000670458
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2018 BROOKWOOD MEDICAL CENTER DRBIRMINGHAM, AL 35209
Registered Office Street Address ZIP Code: 35209

Activities PERFORMING PSYCHOLOGICAL/NEUROPSYCHOLOGICAL EVALUATIONS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003039751 2007-04-11 2020-08-22 2018 BROOKWOOD MEDICAL CTR DR, POB SUITE 310, BIRMINGHAM, AL, 352096898, US 2018 BROOKWOOD MEDICAL CTR DR, POB SUITE 310, BIRMINGHAM, AL, 352096898, US

Contacts

Phone +1 205-329-7815

Authorized person

Name DR. RICHARD L AZRIN
Role OWNER
Phone 2053297815

Taxonomy

Taxonomy Code 103G00000X - Clinical Neuropsychologist
License Number 819
State AL
Is Primary Yes

Member

Name Role
AZRIN, CHERYL MILLSAPS Member

Agent

Name Role
AZRIN, CHERYL MILLSAPS Agent

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State