DR. SUSANNA ANGELICA LACK PSY.D.
NPI 1255311718
Psychologist - Clinical in Media, PA

Q: What is Susanna Lack's NPI number?

The NPI number for Susanna Lack is 1255311718. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Q: What is Susanna Lack's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Susanna Lack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 January 20, 2006

211 N MONROE ST, 2ND FLOOR, MEDIA, PA 19063(610) 891-9923 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Susanna Angelica Lack Psy.d. NPPES

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

DR. SUSANNA ANGELICA LACK PSY.D. (NPI 1255311718) is an individual clinical provider in Media, Pennsylvania, licensed in Pennsylvania (PS008960) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1255311718

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SUSANNA ANGELICA LACKCredential: PSY.D.

Location Address211 N MONROE ST, 2ND FLOORMedia, PA 19063-3019

Mailing Address207 Engle DrWallingford, PA 19086-6322 · (610) 565-5885

Phone(610) 891-9923

Sole ProprietorYes

Enumeration DateJanuary 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1255311718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PA · PS008960

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

211 N MONROE ST, Media, PA 19063

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Other Providers at the Same Location NPPES 9

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

DR. JULIA L. MAYER PSY.D.

Psychologist (Clinical)

211 N MONROE ST, SECOND FLOOR
MEDIA, PA 19063

Delaware County (610) 604-4423

DR. CARL RICHARD SHAFTO M.D.

Psychiatry & Neurology (Psychiatry)

211 N MONROE ST
MEDIA, PA 19063

Delaware County (610) 565-1468

MR. GARY M MILLER M.S.W., L.S.W.

Social Worker (Clinical)

211 N MONROE ST, SECOND FLOOR
MEDIA, PA 19063

Delaware County (302) 325-2169

DR. V. RICHARD ROEDER PH.D.

Psychologist

211 N MONROE ST, 2ND. FL.
MEDIA, PA 19063

Delaware County (610) 891-9923

MR. ROBERT JOHN MCKENNEY M.A.

Psychologist

211 N MONROE ST
MEDIA, PA 19063

Delaware County (610) 565-3218

JADE ALEXA JONES

Social Worker

211 N MONROE ST
MEDIA, PA 19063

Delaware County (610) 708-1701

MS. LINDA HANDLOFF COHEN

Psychologist

211 N MONROE ST
MEDIA, PA 19063

Delaware County (610) 891-9925

DIWAN ASSOCIATES

Psychologist (Clinical)

211 N MONROE ST
MEDIA, PA 19063

Delaware County (610) 565-2754

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 Susanna Lack's NPI number?

The NPI number for Susanna Lack is 1255311718. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Susanna Lack located?

Susanna Lack practices at 211 N Monroe St 2nd Floor, Media, PA 19063. The listed phone number is (610) 891-9923.

What is Susanna Lack's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Susanna Lack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.