Individual provider · Type 1 NPI

Bonnie Rae Nussbaum, PhD

Clinical Psychologist · Green Bay, WI

NPI number 1114071289 Active

Practice location

3600 Velp Ave Ste 4-A
Green Bay, WI 54313-6503

Fax (920) 844-7449

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X1598-057 (WI)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1114071289

Bonnie Rae Nussbaum, PhD's National Provider Identifier is 1114071289, issued on Jan 23, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Green Bay, WI. The record was last updated on Jul 8, 2007.