Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSANNA ANGELICA LACK, PSY.D.
Active Sole ProprietorDR. SUSANNA ANGELICA LACK, PSY.D. is a Clinical Psychologist healthcare provider located in MEDIA, Pennsylvania. NPI 1255311718 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · MEDIA, PA
Registration Details
- NPI Number
- 1255311718
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 20, 2006 (20.538529344114 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PS008960 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
211 N MONROE ST2ND FLOORMEDIA, PA, 190633019Browse PA providers · Browse ZIP 19063
- Phone
- 6108919923
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in MEDIA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD E CALHOUN | PH.D. | 1043209588 |
| DR. JERRY M LAZAROFF | PH.D. | 1730169343 |
| DR. JULIA L. MAYER | PSY.D. | 1245203413 |
| DOMENICA M KNUDSEN | — | 1336109230 |
| MR. PATRICK J MCHUGH | PHD | 1780645747 |
| DR. JOSEPH A MICUCCI | PH.D., ABPP | 1326098344 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.