Individual
JACQUELINE ANN RONDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
28 VALLEY RD, MONTCLAIR, NJ 07042-2709
(973) 746-4555
(973) 783-4055
Mailing address
PO BOX 8121, GLEN RIDGE, NJ 07028-8121
(973) 743-4555
(973) 743-4055
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
35SI00390000
NJ
103TC0700X
Clinical Psychologist
Primary
35SI00390000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051560
—
NJ
Enumeration date
10/13/2005
Last updated
04/19/2024
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