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