Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Lobosco, PHD

Individual provider Clinical Neuropsychologist · NPI 1225457765

Jacqueline Lobosco, PHD is a Clinical Neuropsychologist in Port Jefferson, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone: (631) 474-6300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 019373 (NY)
Psychologist Taxonomy 103T00000X · Licence 019373 (NY)

Record details

NPI number1225457765
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 14, 2014
Last updated in NPPESApril 14, 2014

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