Rondeau, Jacqueline Ann

Rondeau, Jacqueline Ann is an sole proprietor health care provider with primary practice located at 28 Valley Rd , Montclair NJ 07042-2709. She 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 is her primary health care specialty. Rondeau, Jacqueline Ann can be contacted via phone (973) 746-4555.

Contact Information

Primary practice address
28 Valley Rd Montclair NJ 07042-2709
Phone: (973) 746-4555
Fax: (973) 783-4055
Website:
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Health care specialties

SpecialtyCodeLicense #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 1285622217
LBN Legal business name Rondeau, Jacqueline Ann
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Apr 19th, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285622217 NPPES
New Jersey MEDICAID 0051560

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