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Contact Information

ELISABETH A CLYDE, LAC, R-DMT
311 MARKET ST
CAMDEN, NJ08102-1523
 Phone: 856-963-5668
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Dance Therapist

225600000X
Indicates primary specialty

NPI Profile & details for ELISABETH A CLYDE · (Female)

NPI Number 1124723903
Status Active
Credentials LAC, R-DMT
Entity Individual
Enumeration date 04/03/2023
Last updated 04/03/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 2711
  • NJ License # 37AC00709000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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