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Great Lakes Neuropsychology & Counseling Llc
Clinical Psychologist in Rockford, Illinois
NPI 1013030725

Great Lakes Neuropsychology & Counseling Llc is a Clinical Psychologist based in Rockford, IL and is specialized in Clinical. Great Lakes Neuropsychology & Counseling Llc practices in Rockford, IL. The NPI Number for Great Lakes Neuropsychology & Counseling Llc is 1013030725 and holds a License No. (Illinois).

The current practice location address for Great Lakes Neuropsychology & Counseling Llc is 5758 Elaine Dr, Rockford, IL and can be reached out via phone at 815-231-1280 and via fax at 815-231-1282. You can also correspond with Great Lakes Neuropsychology & Counseling Llc through the mailing address at 5758 ELAINE DR, ROCKFORD, IL - 61108-3102 (mailing address contact number: 815-231-1280).

Location: 5758 Elaine Dr, Rockford, IL, 61108-3102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013030725
Provider Name
Great Lakes Neuropsychology & Counseling Llc
Credential
Provider Entity Type
Organization
Address
5758 Elaine Dr, Rockford, IL, 61108-3102
Phone Number
815-231-1280
Fax Number
815-231-1282
Provider Enumeration Date
04/09/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
215368 01 IL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
5758 Elaine Dr
City
Rockford
State
Illinois
Zip
61108-3102
Phone Number
815-231-1280
Fax Number
815-231-1282
person
Provider Business Mailing Address Details
Address
5758 Elaine Dr
City
Rockford
State
Illinois
Zip
61108-3102
Phone Number
815-231-1280
Fax Number
815-231-1282
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
(Illinois)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
(Illinois)
Definition
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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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