NEUROLIFE, LLC (NPI# 1912108838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912108838 |
| Entity Type | Organization |
| Organization Name | NEUROLIFE, LLC |
| Other Organization Name | CAROL WALKER, PHD, ABPP, CLCP |
| Practice Address |
7501 Memorial Pkwy Sw Suite 101 Huntsville AL 35802-2204 |
| Mailing Address |
1428 Weatherly Rd Se Suite 111 Huntsville AL 35803-1181 |
| Practice Telephone | 2565352322 |
| Practice Fax Number | 2566505909 |
| Mailing Telephone | 2565352322 |
| Mailing Fax Number | 2566505909 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-07-23 |
| Authorized Official Name | DR. CAROL P WALKER (OWNER) |
| Authorized Official Telephone | 2565352322 |
| Authorized Official Credential | PHD, ABPP, CLCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | PSY002462 | GA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
619 | AL | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY002462 | GA | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
619 | AL | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
PSY002462 | GA | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
619 | AL | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
PSY002462 | GA | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
619 | AL | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
PSY002462 | GA | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | 619 | AL | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Carol Walker, PhD, ABPP, CLCP | Other Name - Individual/Organization |
| Street Address |
7501 MEMORIAL PKWY SW SUITE 101 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35802-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174187371 | Susan R. Bechert | Social Worker | Huntsville Psychotherapy and Counseling Services, 7540 S. Memorial Parkway, Suite W, Huntsville, AL 35802 | 2019-04-24 |
| 1932601416 | Crystal Gaskins | Nurse Practitioner | 700 Airport Road Suite D, Huntsville, AL 35802 | 2018-03-01 |
| 1073032736 | Emily Rachel Lapidus | Specialist/Technologist | 310 Devon Circle, Huntsville, AL 35802 | 2017-09-13 |
| 1467992727 | Thrive At Jones Farm | Assisted Living Facility | 2238 Cecil Ashburn Dr Se, Huntsville, AL 35802 | 2017-03-06 |
| 1922554641 | Acts Signature Community Services, Inc. | Internal Medicine | One Clubhouse Avenue, Huntsville, AL 35802 | 2016-09-01 |
| 1578018438 | Sarah Thompson | Marriage & Family Therapist | 116 Lily Flagg Rd Sw Ste D, Huntsville, AL 35802 | 2016-08-22 |
| 1124489166 | Nadine Wormsbacher | Massage Therapist | 919 Willowbrook Dr Suite D, Huntsville, AL 35802 | 2016-03-18 |
| 1962761486 | Alfred Lawrence Watson | Internal Medicine | 2112 Clubhouse Ave, Huntsville, AL 35802 | 2012-05-04 |
| 1992073449 | Susan Gosdin Weiler | Pharmacist | 2784 Carl T Jones Drive, Huntsville, AL 35802 | 2011-12-12 |
| 1518257823 | Bonnie Jo Ferguson | Pharmacist | 4096 Whitesburg Drive, Huntsville, AL 35802 | 2011-04-08 |
| Find all providers in zip 35802 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083958813 | William Jeffrey Bryson | Clinical Neuropsychologist | 250 Chateau Dr Sw Ste 145, Huntsville, AL 35801-6437 | 2012-11-16 |
| 1801935564 | Jon G Rogers | Clinical Neuropsychologist | 2702 Churchill Dr Se, Huntsville, AL 35801-2200 | 2007-02-06 |
| 1558360719 | Lynley Sheryl Davis | Clinical Neuropsychologist | 808-b Turner Street, Sw, Huntsville, AL 35801-5209 | 2005-07-19 |
| 1770819815 | Christine B. Lloyd, Ph.d. | Clinical Neuropsychologist | 1428 Weatherly Rd Se, Suite 102, Huntsville, AL 35803-1181 | 2009-10-24 |
| 1427213750 | Carol P. Walker | Clinical Neuropsychologist | 1428 Weatherly Rd Se, Suite 111, Huntsville, AL 35803-1181 | 2008-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205457504 | Elaine Joy Mahoney | Clinical Neuropsychologist | 1717 6th Ave S # Src190, Birmingham, AL 35233-1801 | 2020-04-28 |
| 1669896809 | Emma Lee Peden | Clinical Neuropsychologist | 702 Carr Cir, Headland, AL 36345-1916 | 2014-02-07 |
| 1376893032 | Thomas Joseph Conboy | Clinical Neuropsychologist | 1200 14th St, Suite A, Phenix City, AL 36867-4907 | 2012-09-10 |
| 1295025997 | Sharon D Waltz | Clinical Neuropsychologist | 1365 Caliston Way, Pelham, AL 35124 | 2011-04-14 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1548493000 | Henry R. Griffith, Ph.d. | Clinical Neuropsychologist | 1025 23rd St S, Suite 100, Magnolia Financial Building, Birmingham, AL 35205-2499 | 2009-09-01 |
| 1497989370 | Gove Hill Memorial Hospital, Inc | Clinical Neuropsychologist | 295 South Jackson Street, Grove Hill, AL 36451-0935 | 2009-05-07 |
| 1013193010 | Joanna T Koulianos | Clinical Neuropsychologist | 22 N Florida St, Mobile, AL 36607-3108 | 2008-01-21 |
| 1093996985 | Neuropsychology Clinic | Clinical Neuropsychologist | 2804 20th Ave, Northport, AL 35476-3835 | 2007-11-19 |
| 1174733075 | Stephen M. Sawrie | Clinical Neuropsychologist | 116 Fairhope Ave Ste 1, Fairhope, AL 36532 | 2007-05-22 |
| Find all providers with the same taxonomy | ||||
| City | HUNTSVILLE |
| Zip Code | 35802 |
Please comment or provide details below to improve the information on NEUROLIFE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.