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
Phone: (856) 875-5335
Fax: (856) 875-5336
Website:
Health care specialties
| Specialty | Code | License # | 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 11 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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