William  B  Meneese    PHD
Contract Details
Neuropsychological Services
Facility name
Provider ID
P000001145
NPI
1104939610
Tax ID
631239376
Effective Date
2/15/2000
Last Updated
5/14/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_078
Location Details
Address
1 West Lakeshore Drive Suite 200
Birmingham, AL 35209
United States
County
Jefferson
Phone
2056029980 (Phone)
Billing Details
Address
P.O. Box 660685
Birmingham, AL 35266
Billing Phone
2056029980
Specialty Type
Neuropsychology
Map
Address