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Neuropsychology Institute, LLC

Details

Name: Neuropsychology Institute, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 09 Jun 2000 (25 years ago)
Entity Number: 000-670-398
Register Number: 000670398
ZIP code: 35209
County: Jefferson
Place of Formation: Shelby County
Registered Office Street Address: 3800 RIDGEWAY DRBIRMINGHAM, AL 35209

Activities OWN/OPERATE A NEUROPSYCHOLOGY CLINIC

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689792772 2007-03-27 2020-08-22 3800 RIDGEWAY DR, BIRMINGHAM, AL, 352095506, US 3800 RIDGEWAY DR, BIRMINGHAM, AL, 352095506, US

Contacts

Phone +1 205-868-2090
Fax 2058682406

Authorized person

Name DR. THOMAS JEFFERY BOLL
Role DIRECTOR
Phone 2058682090

Taxonomy

Taxonomy Code 103G00000X - Clinical Neuropsychologist
License Number 386
State AL
Is Primary Yes

Agent

Name Role
BOLL, THOMAS J Agent

Member

Name Role
BOLL, THOMAS J Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State