Individual
DR. JACQUELINE BELANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1020 ASHWOOD DR, WOOSTER, OH 44691-2604
(330) 347-0800
Mailing address
1020 ASHWOOD DR, WOOSTER, OH 44691-2604
(330) 347-0800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6660
OH
103TC0700X
Clinical Psychologist
PSY22093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089906
—
OH
Enumeration date
08/24/2008
Last updated
02/05/2016
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