Individual
DR. TERESA DEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5017 GREEN BAY RD STE 130, KENOSHA, WI 53144-1782
(262) 672-1334
(855) 277-2812
Mailing address
5017 GREEN BAY RD STE 130, KENOSHA, WI 53144-1782
(262) 672-1334
(855) 277-2812
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
071-006765
IL
103G00000X
Clinical Neuropsychologist
2518-057
WI
103T00000X
Psychologist
Primary
2518-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001635716
BLUE CROSS/ BLUE SHIELD
IL
Enumeration date
04/03/2006
Last updated
11/10/2023
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