Bruce J. Robertson in Green Bay - Psychologist
Bruce J. Robertson - NPI 1396770434
Bruce J. Robertson is a Psychologist in Green Bay, Wisconsin. Bruce J. Robertson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Bruce J. Robertson is 1396770434. The last update date is 2009-09-12.
Bruce J. Robertson's current location address is 2631 Packerland Dr, Green Bay, Wisconsin. You can contact this provider via phone number 9209657701 and fax number 9204974956. The mailing address for Bruce J. Robertson is 2631 Packerland Dr, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce J. Robertson |
|---|---|
| Address | 2631 Packerland Dr, Green Bay, Wisconsin |
| Phone Number | 9209657701 |
| Fax Number | 9204974956 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1396770434 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2009-09-12 |
Provider Mailing Address Detail
| Address | 2631 Packerland Dr |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543134130 |
| Phone Number | 9209657701 |
| Fax Number | 9204974956 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1992-057 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39699400 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bruce J. Robertson by the Centers for Medicare & Medicaid Services?
The Bruce J. Robertson has been assigned the NPI (National Provider Identifier) 1396770434 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Bruce J. Robertson is located?
The Bruce J. Robertson is situated at the following address: 2631 Packerland Dr, Green Bay, WI, 543134130.
What is Bruce J. Robertson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bruce J. Robertson is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did the Bruce J. Robertson receive its 1396770434 assignment from the Centers for Medicare & Medicaid Services?
The Bruce J. Robertson was assigned its 1396770434 by the Centers for Medicare & Medicaid Services on 2006-07-11.
When was the information regarding Bruce J. Robertson most recently updated?
The details pertaining to the Bruce J. Robertson, including its address, specialty, and other relevant information, were last refreshed on 2009-09-12.