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JACQUELINE ANN RONDEAU PSY.D.

Clinical Neuropsychologist

Montclair, New Jersey

Provider NPI: 1285622217

Provider Information:
 JACQUELINE ANN RONDEAU PSY.D.
Gender: F
Not Sole Proprietor

Practice Location:
70 PARK ST STE 207 MONTCLAIR, NJ 07042 US
Tel: 973-743-4555  Fax: 973-743-4055

Business Mailing Address:
PO BOX 8121  GLEN RIDGE, NJ 07028 US
Tel: 973-743-4555  Fax: 973-743-4055

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
NJ35S100390000
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NJ35S100390000

Other Provider Identifiers:

IssuerNumberStateType
0051560NJ05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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