Healthcare Provider Details

I. General information

NPI: 1811822091
Provider Name (Legal Business Name): LEAH ANN BRODBECK PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 UNIVERSITY BLVD
BIRMINGHAM AL
35233-1816
US

IV. Provider business mailing address

816 ROCKHURST LN
BIRMINGHAM AL
35209-3163
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-2334
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number2461
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: