Individual
DR. ANGELA ROMAN CLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LPC
Contact information
Practice address
200 DAVISTOWN RD UNIT 272, BLACKWOOD, NJ 08012-7611
(856) 875-5335
(856) 875-5336
Mailing address
200 DAVISTOWN RD UNIT 272, BLACKWOOD, NJ 08012-7611
(856) 875-5335
(856) 875-5336
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00323700
NJ
103TC0700X
Clinical Psychologist
Primary
35SI00779900
NJ
Other
Enumeration date
06/17/2008
Last updated
06/23/2025
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