Great Lakes Institute for Neuropsychology & Behavioral Health
Great Lakes Institute for Neuropsychology & Behavioral Health is a Clinical Neuropsychologist in Greenwood, Indiana. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 8
Practice location Address checks out
494 S Emerson Ave Ste CGreenwood, IN 46143-1912
Phone: (317) 889-3901
Fax: (317) 889-3902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X |
|---|---|
| Clinical Neuropsychologist | Taxonomy 103G00000X |
| Adult Development & Aging Psychologist | Taxonomy 103TA0700X |
| Clinical Child & Adolescent Psychologist | Taxonomy 103TC2200X |
| Forensic Psychologist | Taxonomy 103TF0200X |
| Health Psychologist | Taxonomy 103TH0004X |
| Health Service Psychologist | Taxonomy 103TH0100X |
| Rehabilitation Psychologist | Taxonomy 103TR0400X |
Record details
| NPI number | 1750599981 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sanford Pederson — President · (317) 889-3901 |
| NPI enumerated | May 20, 2007 |
| Last updated in NPPES | June 7, 2024 |
| Certification date | June 7, 2024 |
| Mailing address | Po Box 750233, Dayton, OH 45475-0233 |
Other providers in Greenwood
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Dr. Sanford Lloyd Pederson, PHD, HSPP
494 S Emerson Ave Ste C, Greenwood, IN 46143-1912 · (317) 889-3901