Prohaska, Mark Linden

Prohaska, Mark Linden is an individual health care provider with primary practice located at 100 Rice Mine Road Suite 303, Tuscaloosa AL 35406. 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 / Clinical Neuropsychologist is his primary health care specialty. Prohaska, Mark Linden can be contacted via phone (205) 344-6169.

Contact Information

Primary practice address
100 Rice Mine Road Suite 303 Tuscaloosa AL 35406
Phone: (205) 344-6169
Fax: (205) 344-6171
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 816 Alabama
Behavioral Health & Social Service Providers / Psychologist 103T00000X 816 Alabama

Profile Details

NPI number 1073663555
LBN Legal business name Prohaska, Mark Linden
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Feb 6th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073663555 NPPES
Alabama Other 51504930 BLUE CROSS

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