SUSANNA ANGELICA LACK

MEDIA, PA
NPI1255311718
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: PA  PS008960)
Enumeration Date2006-01-20
Last Update Date2007-07-08
Business Address
Dr. SUSANNA ANGELICA LACK Psy.D.
211 N MONROE ST 2ND FLOOR
MEDIA, PA 19063-3019
Phone number: 610-891-9923
Mailing Address
Dr. SUSANNA ANGELICA LACK Psy.D.
207 ENGLE DR
WALLINGFORD, PA 19086-6322
Phone number: 610-565-5885
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