person
Joshua Wayne Clark
Intellectual & Developmental Disabilities Psychologist in Phelan, California
NPI 1053197517

Joshua Wayne Clark is a Intellectual & Developmental Disabilities Psychologist based in Phelan, CA and is specialized in Intellectual & Developmental Disabilities. Joshua Wayne Clark practices in Phelan, CA. The NPI Number for Joshua Wayne Clark is 1053197517 and holds a License No. (California).

The current practice location address for Joshua Wayne Clark is 4037 Ste A 214, Phelan, CA and can be reached out via phone at 760-964-0153.

Location: 4037 Ste A 214, Phelan, CA, 92371
person
Provider Profile Details
NPI Number
1053197517
Provider Name
Joshua Wayne Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
4037 Ste A 214, Phelan, CA, 92371
Phone Number
760-964-0153
Fax Number
Provider Enumeration Date
08/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4037 Ste A 214
City
State
Zip
92371
Phone Number
760-964-0153
Fax Number
person
Provider Business Mailing Address Details
Address
4037 Ste A 214
City
State
Zip
92371
Phone Number
760-964-0153
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
License No.
()
Definition
Definition to come...
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