Search › New York › Clinical Neuropsychologist
Shane Bush, PH.D
NPI 1003868514 · on the registry since 2006 · sole proprietor
Practice
- Address
- 290 Hawkins Ave
Suite B
Lake Ronkonkoma, NY 11779 - Phone
- (631) 334-7884
- Fax
- (631) 980-3715
- Organisation at this address
- Michael Creta, Do
Long Island Neuropsychology, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Clinical Neuropsychologist
103G00000X
- Also registered as
- Clinical Psychologist
Rehabilitation Psychologist - Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York