Montclair Memory Clinic Llc is a Counselor Clinic in Montclair, New Jersey. It is located at 70 Park Street, Suite 207, Montclair, NJ and its contact number is 973-743-4555. The authorized person for Montclair Memory Clinic Llc is Jacqueline A Rondeau
who is Clinical Director of the clinic and his/her contact number is 973-743-4555. The primary license number for Montclair Memory Clinic Llc is 35SI00390000 (Clinical Neuropsychologist) in New Jersey. Montclair Memory Clinic Llc Clinic has individuals who are licensure in clinical psychology and has done specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology. Neuropsychology is a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Complete Clinic Profile:
Montclair Memory Clinic Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Montclair Memory Clinic Llc
Specialization:
Clinical Neuropsychologist
Clinic Address:
70 Park Street, Suite 207, Montclair, New Jersey, 07042-2960
Phone:
973-743-4555
Fax:
973-743-4055
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Jacqueline A Rondeau
Position:
Clinical Director
Contact Number:
973-743-4555
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Montclair Memory Clinic Llc clinic are as mentioned below.
NPI Number:
1114396835
NPI Enumeration Date:
23 Sep, 2015
NPI Last Update On:
15 Apr, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Montclair Memory Clinic Llc are as mentioned below.
Specialization
License Number
State
Status
Clinical Neuropsychologist
35SI00390000
New Jersey
Primary
Clinical
35SI00390000
New Jersey
Secondary
Speech-language Pathologist
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0051560
Medicaid
New Jersey
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Montclair Memory Clinic Llc Po Box 8121, Glen Ridge, New Jersey
Zip:
07028-8121
Phone Number:
973-743-4555
Fax Number:
973-743-4055
Patients can reach Montclair Memory Clinic Llc at 70 Park Street, Suite 207, Montclair, New Jersey or can call to book an appointment on 973-743-4555. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.