Deer, Teresa

Deer, Teresa is an individual health care provider with primary practice located at 5017 Green Bay Rd Ste 130 , Kenosha WI 53144-1782. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Deer, Teresa can be contacted via phone (262) 672-1334.

Contact Information

Primary practice address
5017 Green Bay Rd Ste 130 Kenosha WI 53144-1782
Phone: (262) 672-1334
Fax: (855) 277-2812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 2518-057 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2518-057 Wisconsin
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071-006765 Illinois

Profile Details

NPI number 1477515724
LBN Legal business name Deer, Teresa
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Nov 10th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477515724 NPPES
Illinois Other 0001635716 BLUE CROSS/ BLUE SHIELD

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