NPI 1114396835

Montclair Memory Clinic LLC

Organisation Clinical Neuropsychologist Montclair, NJ

Practice location

Address: 70 Park Street Suite 207, Montclair, NJ 07042-2960
Phone: (973) 743-4555
Fax: (973) 743-4055
Mailing address: PO Box 8121, Glen Ridge, NJ 07028-8121

Authorised official

Name: Jacqueline a Rondeau
Title: Clinical Director
Phone: (973) 743-4555

Registered specialties (3)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 35SI00390000 (NJ)

Other Clinical Neuropsychologist providers in New Jersey →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 35SI00390000 (NJ)

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Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

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Registry record

NPI: 1114396835
Entity type: Organization
NPI issued: 23 Sep 2015
Record last updated: 15 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.