Jacqueline A Rondeau Psyd
LBN: Jacqueline A Rondeau Psyd
Jacqueline A Rondeau Psyd is an health care organization with primary practice located at 70 Park St Suite 207, Montclair NJ 07042-5907. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty.
Jacqueline A Rondeau Psyd can be contacted via phone (973) 743-4555, or through Rondeau, Jacqueline Ann via phone (973) 743-4555.
Contact Information
Primary practice address
70 Park St Suite 207
Montclair NJ 07042-5907
Phone: (973) 743-4555
Fax: (973) 743-4055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 35SI00390000 | New Jersey |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 35SI00390000 | New Jersey |
Profile Details
| NPI number | 1992182372 |
|---|---|
| LBN Legal business name | Jacqueline A Rondeau Psyd |
| DBA Doing business as | |
| Authorized official | Rondeau, Jacqueline Ann PSYD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 5th, 2015 |
| Last updated | May 5th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992182372 | NPPES |
| New Jersey | MEDICAID | 0051560 |
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