Dr Angela Roman Clack, PSYD, LPC - Counselor in Blackwood, NJ

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Dr Angela Roman Clack, PSYD, LPC is a Psychologist - Clinical based in Blackwood, New Jersey. Dr Angela Roman Clack is licensed to practice in New Jersey (license number 35SI00779900) and her current practice location is 200 Davistown Rd Unit 272, Blackwood, New Jersey. She can be reached at her office (for appointments etc.) via phone at (856) 875-5335.

NPI number for Dr Angela Roman Clack is 1699935205 and her current mailing address is 200 Davistown Rd Unit 272, Blackwood, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699935205.

Contact Information

Dr Angela Roman Clack, PSYD, LPC
200 Davistown Rd Unit 272,
Blackwood, NJ 08012-7611
(856) 875-5335
(856) 875-5336

Map and Direction


Healthcare Provider's Profile

Full NameDr Angela Roman Clack
GenderFemale
SpecialityPsychologist - Clinical
Location200 Davistown Rd Unit 272, Blackwood, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699935205
  • Provider Enumeration Date: 06/17/2008
  • Last Update Date: 06/23/2025

Medical Identifiers

Medical identifiers for Dr Angela Roman Clack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699935205NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 37PC00323700 (New Jersey)Secondary
103TC0700XPsychologist - Clinical 35SI00779900 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Angela Roman Clack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Angela Roman Clack, PSYD, LPC
200 Davistown Rd Unit 272,
Blackwood, NJ 08012-7611

Ph: (856) 875-5335		Dr Angela Roman Clack, PSYD, LPC
200 Davistown Rd Unit 272,
Blackwood, NJ 08012-7611

Ph: (856) 875-5335

Reviews and Comments


Psychologist in Blackwood, NJ


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