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

Individual provider Psychologist · NPI 1396770434

Dr. Bruce J. Robertson, PHD is a Clinical Psychologist in Green Bay, Wisconsin. Qualified in 1995, 31 years ago. Practices with Jacob's Well Counseling Center Inc, a 3-clinician group. Licensed in Wisconsin.

Years since qualifying
31
Licensed in
WI
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2631 Packerland Dr Ste 104-C
Green Bay, WI 54313-4130
Phone: (920) 965-7701
Fax: (920) 497-4956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 1992-057 (WI)

Record details

NPI number1396770434
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESSeptember 12, 2009
Mailing address2631 Packerland Dr, Suite 104-C, Green Bay, WI 54313-4130

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Jacob'S Well Counseling Center Inc — 3 clinicians
Accepts Medicare assignment Not indicated

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