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Organization

BIRMINGHAM NEUROPSYCHOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD L AZRIN PHD (OWNER)
(205) 329-7815
Entity
Organization

Contact information

Practice address
4260 CAHABA HEIGHTS CT STE 180, VESTAVIA, AL 35243-5711
(205) 329-7815
Mailing address
4260 CAHABA HEIGHTS CT STE 180, VESTAVIA, AL 35243-5711
(205) 329-7815

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
819
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051501026
BLUE CROSS OF ALABAMA
AL
01
051503120
FEDERAL BLUE CROSS
AL
01
362466400
US DEPT. OF LABOR
AL
01
680013336
RAILROAD MEDICARE
AL
Enumeration date
04/11/2007
Last updated
06/16/2025
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