| Jacqueline A Rondeau Psyd | |
|
70 Park St Suite 207 Montclair NJ 07042-5907 | |
| (973) 743-4555 | |
| (973) 743-4055 |
| Full Name | Jacqueline A Rondeau Psyd |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 70 Park St, Montclair, New Jersey |
| Authorized Official Name and Position | Jacqueline Ann Rondeau (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9737434555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline A Rondeau Psyd 375 Belleville Ave Bloomfield NJ 07003-2634 Ph: (973) 743-4555 | Jacqueline A Rondeau Psyd 70 Park St Suite 207 Montclair NJ 07042-5907 Ph: (973) 743-4555 |
| NPI Number | 1992182372 |
|---|---|
| Provider Enumeration Date | 05/05/2015 |
| Last Update Date | 05/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992182372 | NPI | - | NPPES |
| 0051560 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 35SI00390000 (New Jersey) | Primary |
| 103TC0700X | Psychologist - Clinical | 35SI00390000 (New Jersey) | Secondary |
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