Dr. Angela R Clack, PSYD, LPC
Psychologist, Clinical in Blackwood, New Jersey
1699935205- Practice location
- 200 Davistown RD Unit 272, Blackwood, NJ 08012-7611
- Phone
- 856-875-5335
- Fax
- 856-875-5336
- Last updated
- June 23, 2025
Angela Roman Clack is a Psychologist, Clinical based in Blackwood, NJ. Angela Roman Clack practices in Blackwood, NJ and has the professional credentials of PSYD, LPC. The NPI Number for Angela Roman Clack is 1699935205 and holds a License No. 37PC00323700 (NJ). The current practice location address for Angela Roman Clack is 200 Davistown RD Unit 272, Blackwood, NJ 08012-7611 and can be reached out via phone at 856-875-5335 and via fax at 856-875-5336.
Provider Profile Details
- NPI Number
- 1699935205
- Provider Name
- Angela Roman Clack
- Credential
- PSYD, LPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 200 Davistown RD Unit 272, Blackwood, NJ 08012-7611
- Phone Number
- 856-875-5335
- Fax Number
- 856-875-5336
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 17, 2008
- Last Update Date
- June 23, 2025
- Certification Date
- June 23, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Davistown RD Unit 272
Blackwood, NJ 08012-7611 - City
- Blackwood
- State
- New Jersey
- Zip
- 08012-7611
- Phone Number
- 856-875-5335
- Fax Number
- 856-875-5336
Provider Business Mailing Address Details
- Address
- 200 Davistown RD Unit 272
Blackwood, NJ 08012-7611 - City
- Blackwood
- State
- NJ
- Zip
- 08012-7611
- Phone Number
- 856-875-5335
- Fax Number
- 856-875-5336
License Information
- License Number (1)
- 37PC00323700
- License State (1)
- NJ
- Taxonomy (1)
- Counselor, Professional · 101YP2500X
- License Number (2)
- 35SI00779900
- License State (2)
- NJ
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Angela R Clack, PSYD, LPC?
The NPI number of Dr. Angela R Clack, PSYD, LPC is 1699935205. It was assigned on June 17, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Angela R Clack, PSYD, LPC?
Dr. Angela R Clack, PSYD, LPC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 37PC00323700.
Where does Dr. Angela R Clack, PSYD, LPC practice?
The practice location is 200 Davistown RD Unit 272, Blackwood, NJ 08012-7611. The office can be reached at 856-875-5335 (phone) or 856-875-5336 (fax).
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 1699935205 directly on the NPPES registry website.