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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.