ELISABETH ANNA MULDOWNEY CLYDE LAC, R-DMT
NPI 1124723903
Counselor in Camden, NJ

Q: What is Elisabeth Clyde's NPI number?

The NPI number for Elisabeth Clyde is 1124723903. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Q: What is Elisabeth Clyde's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Elisabeth Clyde was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 03, 2023

311 MARKET ST, CAMDEN, NJ 08102(856) 963-5668 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Elisabeth Anna Muldowney Clyde Lac, R-dmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISABETH ANNA MULDOWNEY CLYDE LAC, R-DMT (NPI 1124723903) is an individual counselor in Camden, New Jersey, licensed in New Jersey (37AC00709000) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1124723903

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameELISABETH ANNA MULDOWNEY CLYDECredential: LAC, R-DMT

Location Address311 MARKET STCamden, NJ 08102-1523

Mailing Address716 Atlantic Ave Apt BCollingswood, NJ 08108-3162 · (484) 202-3104

Phone(856) 963-5668

Sole ProprietorNo

Enumeration DateApril 3, 2023

NPPES CertifiedApril 2, 2023

✔ NPI 1124723903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in NJ · 37AC00709000

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedDance TherapistTaxonomy 225600000X · License 2711 (NJ)

311 MARKET ST, Camden, NJ 08102

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMELIA URBAN ROMAINE MA, ATR-BC, LPC

Counselor

311 MARKET ST
CAMDEN, NJ 08102

Camden County (856) 963-5668

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elisabeth Clyde's NPI number?

The NPI number for Elisabeth Clyde is 1124723903. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Elisabeth Clyde located?

Elisabeth Clyde practices at 311 Market St, Camden, NJ 08102. The listed phone number is (856) 963-5668.

What is Elisabeth Clyde's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Elisabeth Clyde was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.