Organization
BLACK LOCUST PSYCHOLOGY PC
Active
Organization
BLACK LOCUST PSYCHOLOGY PC
Active
Other names
Black Locust Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL FLACK JD, PHD (SOLE MEMBER)
(203) 208-8641
Entity
Organization
Contact information
Practice address
29 WICKHAM RD, EAST HADDAM, CT 06423-1204
(203) 208-8641
Mailing address
29 WICKHAM RD, EAST HADDAM, CT 06423-1204
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
02/21/2025
Last updated
02/24/2025
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