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:
Health care specialties
| Specialty | Code | License # | 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 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 | 1073663555 | NPPES |
| Alabama | Other | 51504930 | BLUE CROSS |
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