Provider Demographics
NPI:1336446145
Name:WEST NEUROPSYCHOLOGY, LLC
Entity Type:Organization
Organization Name:WEST NEUROPSYCHOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL NEUROPSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DELISA
Authorized Official - Middle Name:ARLINDA
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:205-453-9888
Mailing Address - Street 1:801 PRINCETON AVE SW
Mailing Address - Street 2:PROFESSIONAL OFFICE BUILDING I, SUITE 205
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-1310
Mailing Address - Country:US
Mailing Address - Phone:205-453-9888
Mailing Address - Fax:205-453-0003
Practice Address - Street 1:801 PRINCETON AVE SW
Practice Address - Street 2:PROFESSIONAL OFFICE BUILDING I, SUITE 205
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-1310
Practice Address - Country:US
Practice Address - Phone:205-453-9888
Practice Address - Fax:205-453-0003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1342261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1376567420OtherINDIVIDUAL NPI
AL1376567420OtherINDIVIDUAL NPI