Organization
JACQUELINE A RONDEAU PSYD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE ANN RONDEAU PSYD (CLINICAL DIRECTOR)
(973) 743-4555
Entity
Organization
Contact information
Practice address
70 PARK ST, SUITE 207, MONTCLAIR, NJ 07042-5907
(973) 743-4555
(973) 743-4055
Mailing address
375 BELLEVILLE AVE, BLOOMFIELD, NJ 07003-2634
(973) 743-4555
(973) 743-4055
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
35SI00390000
NJ
103TC0700X
Clinical Psychologist
35SI00390000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051560
—
NJ
Enumeration date
05/05/2015
Last updated
05/05/2015
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