Healthcare Provider Details

I. General information

NPI: 1699653477
Provider Name (Legal Business Name): JACQUELINE DEANNE ESCOTO MS, PHD(C)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JACQUELINE DEANNE GARCIA

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8533 S PARLIER CT
PARLIER CA
93648-2259
US

IV. Provider business mailing address

PO BOX 333
PARLIER CA
93648-0333
US

V. Phone/Fax

Practice location:
  • Phone: 728-900-5856
  • Fax:
Mailing address:
  • Phone: 559-574-4521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number94029014
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: