Neuropsychological Services, Llc | |
1 W Lakeshore Dr Suite 201 Birmingham AL 35209-0500 | |
(205) 602-9980 | |
(205) 592-8835 |
Full Name | Neuropsychological Services, Llc |
---|---|
Speciality | Psychologist |
Location | 1 W Lakeshore Dr, Birmingham, Alabama |
Authorized Official Name and Position | William B Meneese (PRESIDENT) |
Authorized Official Contact | 2056029980 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Neuropsychological Services, Llc Po Box 660685 Birmingham AL 35266-0685 Ph: (205) 979-5882 | Neuropsychological Services, Llc 1 W Lakeshore Dr Suite 201 Birmingham AL 35209-0500 Ph: (205) 602-9980 |
NPI Number | 1629115373 |
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Provider Enumeration Date | 01/31/2007 |
Last Update Date | 07/15/2011 |
Medicare PECOS PAC ID | 8628247632 |
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Medicare Enrollment ID | O20110809000340 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629115373 | NPI | - | NPPES |
529905250 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 647 (Alabama) | Primary |
Provider Name | William B Meneese |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1104939610 PECOS PAC ID: 1153590161 Enrollment ID: I20110809000576 |
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