Great Lakes Neuropsychology & Counseling Llc is a Counselor Clinic in Rockford, Illinois. It is located at 5758 Elaine Dr, Rockford, IL and its contact number is 815-231-1280. The authorized person for Great Lakes Neuropsychology & Counseling Llc is Dr. Shaun A Bong
who is Licensed Clinical Psychologist/memb of the clinic and his/her contact number is 815-231-1280. Great Lakes Neuropsychology & Counseling Llc 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:
Great Lakes Neuropsychology & Counseling Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Great Lakes Neuropsychology & Counseling Llc
Specialization:
Clinical Neuropsychologist
Clinic Address:
5758 Elaine Dr, Rockford, Illinois, 61108-3102
Phone:
815-231-1280
Fax:
815-231-1282
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. Shaun A Bong
Position:
Licensed Clinical Psychologist/memb
Contact Number:
815-231-1280
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 Great Lakes Neuropsychology & Counseling Llc clinic are as mentioned below.
NPI Number:
1013030725
NPI Enumeration Date:
09 Apr, 2007
NPI Last Update On:
05 Feb, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Great Lakes Neuropsychology & Counseling Llc are as mentioned below.
Specialization
License Number
State
Status
Clinical
Illinois
Primary
Clinical Neuropsychologist
Illinois
Secondary
Clinical Neuropsychologist
Illinois
Secondary
Clinical
Illinois
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
215368
Other
Illinois
Medicare Ptan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Patients can reach Great Lakes Neuropsychology & Counseling Llc at 5758 Elaine Dr, Rockford, Illinois or can call to book an appointment on 815-231-1280. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.