Great Lakes Neuropsychology & Counseling LLC
Great Lakes Neuropsychology & Counseling LLC is a Clinical Neuropsychologist in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
- Specialties on file
- 4
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5758 Elaine DrRockford, IL 61108-3102
Phone: (815) 231-1280
Fax: (815) 231-1282
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X (IL) |
|---|---|
| Clinical Neuropsychologist | Taxonomy 103G00000X (IL) |
| Clinical Neuropsychologist | Taxonomy 103G00000X (IL) |
| Clinical Psychologist | Taxonomy 103TC0700X (IL) |
Record details
| NPI number | 1013030725 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shaun Bong — Licensed Clinical Psychologist/Memb · (815) 231-1280 |
| NPI enumerated | April 9, 2007 |
| Last updated in NPPES | February 5, 2008 |
| Mailing address | 5758 Elaine Dr, Rockford, IL 61108-3102 |