Organization
NEUROPSYCHOLOGICAL CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA M. D DEER PH.D. (PRESIDENT)
(847) 308-6125
Entity
Organization
Contact information
Practice address
5017 GREEN BAY RD STE 130, KENOSHA, WI 53144-1782
(262) 671-1334
Mailing address
5017 GREEN BAY RD STE 130, KENOSHA, WI 53144-1782
(262) 671-1334
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001635716
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/13/2007
Last updated
11/10/2023
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