Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Bonnie Rae Nussbaum, PHD

Individual provider Clinical Psychologist · NPI 1114071289

Dr. Bonnie Rae Nussbaum, PHD is a Clinical Psychologist in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

3600 Velp Ave Ste 4-A
Green Bay, WI 54313-6503
Phone: (920) 884-7445
Fax: (920) 844-7449
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1598-057 (WI)

Record details

NPI number1114071289
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 23, 2007
Last updated in NPPESJuly 8, 2007

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