Doctor Name: | MR. GERALD M. STEIN |
NPI Number: | 1043366297 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 071-001939 |
Business Practice Address: | 210 W 22nd St Suite 118 Oak Brook, IL - 605231544 |
Business Phone Number: | 6305711077 |
Business Fax Number: | |
Mailing Address: | 210 W 22nd St, Suite 118 OAK BROOK |
State: | IL |
Postal Code: | 605231544 |
Phone Number: | 6305711077 |
Fax Number: | |
NPI Enumeration Date: | 01/28/2007 |
NPI Last Update Date: | 11/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 071-001939 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |