Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Angela Roman Clack, PSYD, LPC

Individual provider Professional Counselor · NPI 1699935205

Dr. Angela Roman Clack, PSYD, LPC is a Professional Counselor in Blackwood, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2008
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

200 Davistown Rd Unit 272
Blackwood, NJ 08012-7611
Phone: (856) 875-5335
Fax: (856) 875-5336
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Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 35SI00779900 (NJ)
Professional Counselor Taxonomy 101YP2500X · Licence 37PC00323700 (NJ)

Record details

NPI number1699935205
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , LPC
Sole proprietorYes
NPI enumeratedJune 17, 2008
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

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