Black Bear Academy is a Counselor Clinic in Chicago, Illinois. It is located at 1801 W Byron St, Chicago, IL and its contact number is 773-244-0700. The authorized person for Black Bear Academy is Dr. Lori G Tall
who is Executive Director of the clinic and his/her contact number is 312-285-2323. Black Bear Academy Clinic has individuals who are licensure in clinical psychology and has done specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology. Neuropsychology is a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Complete Clinic Profile:
Black Bear Academy Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Black Bear Academy
Specialization:
Clinical Neuropsychologist
Clinic Address:
1801 W Byron St, Chicago, Illinois, 60613-2729
Phone:
773-244-0700
Fax:
773-244-0200
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Lori G Tall
Position:
Executive Director
Contact Number:
312-285-2323
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Black Bear Academy clinic are as mentioned below.
NPI Number:
1518246255
NPI Enumeration Date:
11 Aug, 2011
NPI Last Update On:
11 Jan, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Black Bear Academy are as mentioned below.
Specialization
License Number
State
Status
Clinical Child & Adolescent
Primary
Clinical Neuropsychologist
Secondary
Pediatrics
Secondary
Speech-language Pathologist
Secondary
Early Intervention Provider Agency
060006146
Illinois
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Black Bear Academy 1801 W Byron St, Chicago, Illinois
Zip:
60613-2729
Phone Number:
773-244-0700
Fax Number:
773-244-0200
Patients can reach Black Bear Academy at 1801 W Byron St, Chicago, Illinois or can call to book an appointment on 773-244-0700. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.