Marullo, Daniel S
Marullo, Daniel S is an individual health care provider with primary practice located at 1600 7Th Ave S Suite 500, Birmingham AL 35233-1711. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Marullo, Daniel S can be contacted via phone (205) 939-9810.Contact Information
Primary practice address
1600 7Th Ave S Suite 500
Birmingham AL 35233-1711
Phone: (205) 939-9810
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 797 | Alabama |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 797 | Alabama |
Profile Details
| NPI number | 1245441203 |
|---|---|
| LBN Legal business name | Marullo, Daniel S |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Sep 24th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245441203 | NPPES |
| Alabama | MEDICAID | 116010 | |
| Alabama | Other | 511-03883 | |
| Alabama | Other | 510-75196 | |
| Alabama | MEDICAID | 000075196 | |
| Alabama | Other | 511-03353 | |
| Alabama | MEDICAID | 890008950 | |
| Alabama | Other | 051507207 | |
| Alabama | Other | 1245441203 | |
| Alabama | Other | 511-02449 |
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