Individual provider · Type 1 NPI
Shane Bush, PhD
Clinical Neuropsychologist · Lake Ronkonkoma, NY
Practice location
290 Hawkins Ave, Suite B
Lake Ronkonkoma, NY 11779-9600
Fax (631) 980-3715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | 012998-2 (NY) |
| Clinical Neuropsychologist Primary | 103G00000X | 012998 (NY) |
| Rehabilitation Psychologist | 103TR0400X | 012998 (NY) |
Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
3 other providers at this address
About NPI 1003868514
Shane Bush, PhD's National Provider Identifier is 1003868514, issued on May 16, 2006. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in Lake Ronkonkoma, NY. The record was last updated on Jul 18, 2007.