Great Lakes Neuropsychology & Counseling LLC
NPI #1013030725 in Rockford, Illinois
Provider Information
- NPI Number
- 1013030725
- Entity Type
- Organization
- Organization Name
- Great Lakes Neuropsychology & Counseling LLC
- Primary Specialty
- Clinical Neuropsychologist
- Enumeration Date
- Apr 9, 2007
- Last Updated
- Feb 5, 2008
Practice Location
Authorized Official
- Name
- DR. SHAUN A BONG, PSY.D.
- Title
- LICENSED CLINICAL PSYCHOLOGIST/MEMB
- Phone
- (815) 231-1280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
| Psychologist - Clinical — Clinical |
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