Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jeffrey P. Clark, PSYD

Individual provider Clinical Psychologist · NPI 1063403822

Dr. Jeffrey P. Clark, PSYD is a Clinical Psychologist in Sheridan, Wyoming. Qualified in 2003, 23 years ago. Practices with Big Horn Psychological Services Lc, a 6-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
23
Licensed in
WY
In the registry since
2005
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

339 W Loucks St
Sheridan, WY 82801-4121
Phone: (307) 674-4462
Fax: (307) 674-4552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 409 (WY)

Record details

NPI number1063403822
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedNovember 2, 2005
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Big Horn Psychological Services Lc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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