Provider Demographics
NPI:1699653477
Name:ESCOTO, JACQUELINE DEANNE (MS, PHD(C))
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:DEANNE
Last Name:ESCOTO
Suffix:
Gender:F
Credentials:MS, PHD(C)
Other - Prefix:
Other - First Name:JACQUELINE
Other - Middle Name:DEANNE
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 333
Mailing Address - Street 2:
Mailing Address - City:PARLIER
Mailing Address - State:CA
Mailing Address - Zip Code:93648-0333
Mailing Address - Country:US
Mailing Address - Phone:559-574-4521
Mailing Address - Fax:
Practice Address - Street 1:8533 S PARLIER CT
Practice Address - Street 2:
Practice Address - City:PARLIER
Practice Address - State:CA
Practice Address - Zip Code:93648-2259
Practice Address - Country:US
Practice Address - Phone:728-900-5856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA94029014103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty