| Doctor Name: | JACQUELINE MARIE SANTORO |
| NPI Number: | 1962595264 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 012424 |
| Business Practice Address: | 10 Main St Suite 102 Whitesboro, NY - 13492 |
| Business Phone Number: | 3157686389 |
| Business Fax Number: | 3157686392 |
| Mailing Address: | Po Box 26, WHITESBORO |
| State: | NY |
| Postal Code: | 134921035 |
| Phone Number: | 3157686389 |
| Fax Number: | 3157686392 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103G00000X |
| License Number: | 012424 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Clinical Neuropsychologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |