Provider Demographics
NPI:1770754855
Name:TROPP, JACQUELINE KAILES (PHD)
Entity type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:KAILES
Last Name:TROPP
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 LENOX AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-5101
Mailing Address - Country:US
Mailing Address - Phone:908-654-5277
Mailing Address - Fax:
Practice Address - Street 1:220 LENOX AVE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-5101
Practice Address - Country:US
Practice Address - Phone:908-654-5277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100337400103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical