Individual provider · Type 1 NPI

Daniel Flack, PhD, JD

Clinical Psychologist · Moodus, CT

NPI number 1184305534 Active

Practice location

PO Box 10
Moodus, CT 06469-0010

Mailing address

29 Wickham Rd
East Haddam, CT 06423-1204

Specialties and licenses

TaxonomyCodeLicense
Forensic Psychologist 103TF0200XNone listed
Clinical Psychologist Primary 103TC0700X4619 (CT)

Clinical Psychologist: 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 discip…

About NPI 1184305534

Daniel Flack, PhD, JD's National Provider Identifier is 1184305534, issued on Jul 28, 2023. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Moodus, CT. The record was last updated on Mar 19, 2025.