Joshua Wayne Clark, in Phelan, CA - Psychologist

Joshua Wayne Clark, is a Psychologist - Intellectual & Developmental Disabilities based in Phelan, California. Joshua Wayne Clark is licensed to practice in * (Not Available) (license number ) and his current practice location is 4037 Ste A 214, Phelan, California. He can be reached at his office (for appointments etc.) via phone at (760) 964-0153.

NPI number for Joshua Wayne Clark is 1053197517 and his current mailing address is 4037 Ste A 214, Phelan, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053197517.

Contact Information

	Joshua Wayne Clark,
	4037 Ste A 214, Phelan, CA 92371
	(760) 964-0153
	Not Available

Healthcare Provider's Profile

Full Name	Joshua Wayne Clark
Gender	Male
Speciality	Psychologist - Intellectual & Developmental Disabilities
Location	4037 Ste A 214, Phelan, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1053197517
Provider Enumeration Date: 08/31/2023
Last Update Date: 08/31/2023

Medical Identifiers

Medical identifiers for Joshua Wayne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053197517	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TM1800X	Psychologist - Intellectual & Developmental Disabilities	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joshua Wayne Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Joshua Wayne Clark, 4037 Ste A 214, Phelan, CA 92371 Ph: (760) 964-0153	Joshua Wayne Clark, 4037 Ste A 214, Phelan, CA 92371 Ph: (760) 964-0153

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Joshua Wayne Clark, - Psychologist in Phelan, CA