Angela J Clark, is a
Marriage & Family Therapist based in Old Tappan, New Jersey. Angela J Clark is licensed to practice in California (license number AMFT132478) and her current practice location is
48 Bistate Plaza, Old Tappan, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(509) 768-2249.
NPI number for Angela J Clark is 1568188290 and her current mailing address is 8940 Rachel Freeman Way Apt 4201, Charlotte, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568188290.
Healthcare Provider's Profile
Full Name | Angela J Clark |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 48 Bistate Plaza, Old Tappan, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568188290
- Provider Enumeration Date: 10/14/2022
- Last Update Date: 10/14/2022
Medical Identifiers
Medical identifiers for Angela J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568188290 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | AMFT132478 (California) | 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. Angela J Clark 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 Address | Practice Location Address |
Angela J Clark, 8940 Rachel Freeman Way Apt 4201, Charlotte, NC 28278-9559 Ph: (619) 259-7664 | Angela J Clark, 48 Bistate Plaza, Old Tappan, NJ 07675 Ph: (509) 768-2249 |
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