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Dr. Susanna Angelica Lack, PSYD
Clinical Psychologist in Media, Pennsylvania
NPI 1255311718

Susanna Angelica Lack is a Clinical Psychologist based in Wallingford, PA and is specialized in Clinical. Susanna Angelica Lack practices in Media, PA and has the professional credentials of PSYD. The NPI Number for Susanna Angelica Lack is 1255311718 and holds a License No. PS008960 (Pennsylvania).

The current practice location address for Susanna Angelica Lack is 211 N Monroe St, Media, PA and can be reached out via phone at 610-891-9923. You can also correspond with Susanna Angelica Lack through the mailing address at 207 ENGLE DR, WALLINGFORD, PA - 19086-6322 (mailing address contact number: 610-565-5885).

Location: 211 N Monroe St, Media, PA, 19086-6322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255311718
Provider Name
Susanna Angelica Lack
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
211 N Monroe St, Media, PA, 19086-6322
Phone Number
610-891-9923
Fax Number
Provider Enumeration Date
01/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
211 N Monroe St
City
Media
State
Pennsylvania
Zip
19063-3019
Phone Number
610-891-9923
Fax Number
person
Provider Business Mailing Address Details
Address
207 Engle Dr
City
Wallingford
State
Pennsylvania
Zip
19086-6322
Phone Number
610-565-5885
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PS008960 (Pennsylvania)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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