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

Joshua Wayne Clark

Individual provider Intellectual & Developmental Disabilities Psychologist · NPI 1053197517

Joshua Wayne Clark is an Intellectual & Developmental Disabilities Psychologist in Phelan, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4037 Ste A 214
Phelan, CA 92371
Phone: (760) 964-0153
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual & Developmental Disabilities Psychologist (primary) Taxonomy 103TM1800X

Record details

NPI number1053197517
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 31, 2023
Last updated in NPPESAugust 31, 2023
Certification dateAugust 30, 2023
Mailing address4037 Ste A 214, Phelan, CA 92371