| Doctor Name: | DANIEL S MARULLO |
| NPI Number: | 1245441203 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 797 |
| Business Practice Address: | 1600 7th Ave S Suite 500 Birmingham, AL - 352331711 |
| Business Phone Number: | 2059399810 |
| Business Fax Number: | |
| Mailing Address: | Po Box 11407 Drawer 1492, BIRMINGHAM |
| State: | AL |
| Postal Code: | 352461492 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2007 |
| NPI Last Update Date: | 09/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103G00000X |
| License Number: | 797 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Clinical Neuropsychologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |