National Provider Identifier

Jacqlynn Halstead, MA/AC

Jacqlynn Halstead, MA/AC is listed in the NPPES registry with a primary specialty of School Psychologist in Newark, NY and a listed phone number of (315) 331-2086.

NPI 1073186748Newark, NYSchool Psychologist

Profile Overview

NPI
1073186748
Provider Type
Individual
Primary Specialty
School Psychologist
Enumeration Date
July 21, 2021
Last Updated
July 21, 2021

Practice Location

  • 848 Peirson Ave
  • Newark, NY 14513-9762

Phone: (315) 331-2086

Specialties

  • School Psychologist (103TS0200X)
Full Record
NPI
1073186748
Entity Type
Individual
Last Name
Halstead
First Name
Jacqlynn
Credential
MA/AC
Mailing Street Address
848 Peirson Ave
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-9762
Mailing Country
US
Practice Street Address
848 Peirson Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-9762
Practice Country
US
Practice Phone
(315) 331-2086
Enumeration Date
July 21, 2021
Last Updated
July 21, 2021
Sex
Female
Sole Proprietor
No
Certification Date
July 20, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
School Psychologist (103TS0200X)