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Contact Information

JOY J CLARK, PhD
120 E. KIMBALL AVENUE
SUITE 2
HEMET, CA92543
 Phone: 951-392-3219
 Fax: 951-392-3087
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOY J CLARK · (Female)

NPI # 1538253174
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/03/2006
Last updated 11/29/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY11556
  • CA Medicaid PSY115560
  • Other 0PL115560 MEDICARE ID
  • CA Other PSY11556 STATE LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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