Dr. Jacqueline Sue Degroat
School Psychologist Clinical Child & Adolescent Psychologist
816 Ditmas Ave
Brooklyn
, New York 11218-5204
Dr. Jacqueline Sue Degroat
School Psychologist Clinical Child & Adolescent Psychologist
816 Ditmas Ave
Brooklyn
, New York 11218-5204
(718) 859-5909
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
- School Psychologist
Languages spoken
- English
Location
First Address
- Dr. Jacqueline Sue Degroat
- 816 Ditmas Ave
- Brooklyn, NY
- Zip : 11218-5204
- Fax : (718) 859-5909
- Phone : (718) 531-1800
Second Address
- Dr. Jacqueline Sue Degroat
- 816 Ditmas Ave
- Brooklyn, NY
- Zip : 11218-5204
- Fax : (718) 859-5909
- Phone : (718) 531-1800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 018431-1 | NY |
| N | 103TS0200X | School Psychologist | NY |
National Provider Identifier
| NPI | 1073843462 |
|---|---|
| Provider Name | Dr. Jacqueline Sue Degroat |
| First Address | Brooklyn, NY 11218-5204 |
| Second Address | Brooklyn, NY 11218-5204 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/01/2010 |
| Last Update Date | 06/01/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.