Shane Bush, PHD
Shane Bush, PHD is a Clinical Psychologist in Lake Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- PHD — Doctor of Philosophy
- A research doctorate. In healthcare it usually sits alongside a clinical licence.
Practice location Address checks out
290 Hawkins Ave Ste BLake Ronkonkoma, NY 11779-9600
Phone: (631) 334-7884
Fax: (631) 980-3715
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 Neuropsychologist (primary) | Taxonomy 103G00000X · Licence 012998 (NY) |
|---|---|
| Clinical Psychologist | Taxonomy 103TC0700X · Licence 012998-2 (NY) |
| Rehabilitation Psychologist | Taxonomy 103TR0400X · Licence 012998 (NY) |
Record details
| NPI number | 1003868514 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHD |
| Sole proprietor | Yes |
| NPI enumerated | May 16, 2006 |
| Last updated in NPPES | July 18, 2007 |