Degroat, Jacqueline Sue

Degroat, Jacqueline Sue is an sole proprietor health care provider with primary practice located at 816 Ditmas Ave , Brooklyn NY 11218-5204. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Degroat, Jacqueline Sue can be contacted via phone (718) 531-1800.

Contact Information

Primary practice address
816 Ditmas Ave Brooklyn NY 11218-5204
Phone: (718) 531-1800
Fax: (718) 859-5909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X New York
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 018431-1 New York

Profile Details

NPI number 1073843462
LBN Legal business name Degroat, Jacqueline Sue
Credentials M.S.ED., PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2010
Last updated Aug 25th, 2023 - about last year

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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