NPI 1063403822

Jeffrey P. Clark, PSYD

Practitioner Clinical Psychologist Sheridan, WY

Practice location

Address: 339 W Loucks St, Sheridan, WY 82801-4121
Phone: (307) 674-4462
Fax: (307) 674-4552
Mailing address: 1969 S Sheridan Ave, Sheridan, WY 82801-6108

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 409 (WY)

Other Psychologist providers in Wyoming →

Registry record

NPI: 1063403822
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Nov 2005
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.