Type 2 organization · NPI 1013030725
GREAT LAKES NEUROPSYCHOLOGY & COUNSELING LLC
103TC0700X · ROCKFORD, IL
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 103TC0700X | 103TC0700X | Primary |
| 103G00000X | 103G00000X | Additional |
| 103G00000X | 103G00000X | Additional |
| 103TC0700X | 103TC0700X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s