Organization Name: | BROOK CLINIC ASSOCIATES, P.C. |
NPI Number: | 1811065121 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GERALD M. STEIN (PRESIDENT) |
Mailing Address: | 210 W 22nd St Suite 118 Oak Brook |
State: | IL US |
Postal Code: | 605231544 |
Phone Number: | 6305711077 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2006 |
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. |