| Jacqueline A. Rondeau Psy.d. Clinical Psychological &neuropsychologist | |
|
70 Park St 2nd Floor Montclair NJ 07042-5907 | |
| (973) 743-4555 | |
| (973) 743-4055 |
| Full Name | Jacqueline A. Rondeau Psy.d. Clinical Psychological &neuropsychologist |
|---|---|
| Speciality | Clinic/center |
| Location | 70 Park St, Montclair, New Jersey |
| Authorized Official Name and Position | Jacqueline Ann Rondeau (SOLE PROPRIETOR) |
| Authorized Official Contact | 9737434555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline A. Rondeau Psy.d. Clinical Psychological &neuropsychologist 375 Belleville Ave Apt. 2 Bloomfield NJ 07003-2634 Ph: (997) 374-3455 | Jacqueline A. Rondeau Psy.d. Clinical Psychological &neuropsychologist 70 Park St 2nd Floor Montclair NJ 07042-5907 Ph: (973) 743-4555 |
| NPI Number | 1851316764 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851316764 | NPI | - | NPPES |
| 0051349 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 35S100390000 (New Jersey) | Primary |
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