IndividualActive
Angela Clack, PSYD, LPC
NPI 1699935205 · Clinical Psychologist · Blackwood, NJ
Provider details
- NPI number
- 1699935205
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD, LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 37PC00323700 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
200 Davistown Rd Unit 272
Blackwood, NJ 08012-7611
Phone: (856) 875-5335
Fax: (856) 875-5336
Approximate (ZIP-level) locationGet directions
Mailing address
200 Davistown Rd Unit 272
Blackwood, NJ 08012-7611
Registry dates
- Enumerated
- 2008-06-17
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.