Clack, Angela Roman

Clack, Angela Roman is an sole proprietor health care provider with primary practice located at 2005 Liberty Pl 2005, Sicklerville NJ 08081-5707. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Clack, Angela Roman can be contacted via phone (856) 875-5335.

Contact Information

Primary practice address
2005 Liberty Pl 2005 Sicklerville NJ 08081-5707
Fax: (856) 875-5336
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00323700 New Jersey

Profile Details

NPI number 1699935205
LBN Legal business name Clack, Angela Roman
Credentials PSYD, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2008
Last updated Apr 1st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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