Belanger, Jacqueline

Belanger, Jacqueline is an individual health care provider with primary practice located at 1020 Ashwood Dr , Wooster OH 44691-2604. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Belanger, Jacqueline can be contacted via phone (330) 347-0800.

Contact Information

Primary practice address
1020 Ashwood Dr Wooster OH 44691-2604
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY22093 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6660 Ohio

Profile Details

NPI number 1558518316
LBN Legal business name Belanger, Jacqueline
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2008
Last updated Feb 5th, 2016 - about 8 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 1558518316 NPPES
Ohio MEDICAID 0089906

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