Organization · Type 2 NPI

Great Lakes Neuropsychology & Counseling LLC

Clinical Psychologist · Rockford, IL

NPI number 1013030725 Active

Practice location

5758 Elaine Dr
Rockford, IL 61108-3102

Fax (815) 231-1282

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist 103G00000XNone listed
Clinical Neuropsychologist 103G00000XNone listed
Clinical Psychologist Primary 103TC0700XNone listed
Clinical Psychologist 103TC0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1013030725

Great Lakes Neuropsychology & Counseling LLC's National Provider Identifier is 1013030725, issued on Apr 9, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Rockford, IL. The record was last updated on Feb 5, 2008.