Organization
PSYCHOLOGICAL CONSULATNTS S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. URSULA BERTRAND PH.D. (PRESIDENT)
(920) 437-3854
Entity
Organization
Contact information
Practice address
130 E. WALUNT STREET, 604, GREEN BAY, WI 54301
(920) 437-3854
(920) 437-7488
Mailing address
130 E. WALUNT STREET, 604, GREEN BAY, WI 54301
(920) 437-3854
(920) 437-7488
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2463-057
WI
103TC1900X
Counseling Psychologist
1042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42120100
—
WI
Enumeration date
04/13/2007
Last updated
09/11/2025
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