Active NPIIndividual provider

Elisabeth A Clyde, LAC, R-DMT

Counselor in Camden, New Jersey

NPI Number1124723903
Practice location
311 Market St, Camden, NJ 08102-1523
Fax
—
Last updated
April 3, 2023

Elisabeth Anna Muldowney Clyde is a Counselor based in Camden, NJ. Elisabeth Anna Muldowney Clyde practices in Camden, NJ and has the professional credentials of LAC, R-DMT. The NPI Number for Elisabeth Anna Muldowney Clyde is 1124723903 and holds a License No. 2711 (NJ). The current practice location address for Elisabeth Anna Muldowney Clyde is 311 Market St, Camden, NJ 08102-1523 and can be reached out via phone at 856-963-5668.

Provider Profile Details

NPI Number
1124723903
Provider Name
Elisabeth Anna Muldowney Clyde
Credential
LAC, R-DMT
Provider Entity Type
Individual
Gender
Female
Address
311 Market St, Camden, NJ 08102-1523
Phone Number
856-963-5668
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
April 3, 2023
Last Update Date
April 3, 2023
Certification Date
April 2, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
311 Market St
Camden, NJ 08102-1523
City
Camden
Zip
08102-1523
Phone Number
856-963-5668
Camden, NJ 08102Get directions →

Provider Business Mailing Address Details

Address
716 Atlantic Ave Apt B
Collingswood, NJ 08108-3162
City
Collingswood
State
NJ
Zip
08108-3162
Phone Number
484-202-3104

License Information

License Number (1)
2711
License State (1)
NJ
Taxonomy (1)
Dance Therapist · 225600000X
License Number (2)
37AC00709000
License State (2)
NJ
Taxonomy (2)
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elisabeth A Clyde, LAC, R-DMT?

The NPI number of Elisabeth A Clyde, LAC, R-DMT is 1124723903. It was assigned on April 3, 2023 and is currently active in the NPPES registry.

What is the specialty of Elisabeth A Clyde, LAC, R-DMT?

Elisabeth A Clyde, LAC, R-DMT is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in NJ under license number 2711.

Where does Elisabeth A Clyde, LAC, R-DMT practice?

The practice location is 311 Market St, Camden, NJ 08102-1523. The office can be reached at 856-963-5668 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124723903 directly on the NPPES registry website.

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