SearchNew Jersey101Y00000X

Elisabeth Clyde, LAC, R-DMT

NPI 1124723903 · on the registry since 2023

Practice

Address
311 Market St
Camden, NJ 08102
Phone
(856) 963-5668
Clinicians at this address
2

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
225600000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-04-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey