Individual
JACQUELINE MARIE SANTORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10 MAIN ST, SUITE 102, WHITESBORO, NY 13492
(315) 768-6389
(315) 768-6392
Mailing address
PO BOX 26, WHITESBORO, NY 13492-1035
(315) 768-6389
(315) 768-6392
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
012424
NY
103TC0700X
Clinical Psychologist
Primary
012424
NY
Other
Enumeration date
10/02/2006
Last updated
09/11/2025
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