IndividualActive
Mark Prohaska, PH.D.
NPI 1073663555 · Clinical Neuropsychologist · Tuscaloosa, AL
Provider details
- NPI number
- 1073663555
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 816 (AL)
Practice location
100 Rice Mine Road
Suite 303
Tuscaloosa, AL 35406
Phone: (205) 344-6169
Fax: (205) 344-6171
Mailing address
100 Rice Mine Road
Tuscaloosa, AL 35406
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2009-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.