IndividualActive
Jeffrey Clark, PSY.D.
NPI 1063403822 · Clinical Psychologist · Sheridan, WY
Provider details
- NPI number
- 1063403822
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 409 (WY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
339 W Loucks St
Sheridan, WY 82801-4121
Phone: (307) 674-4462
Fax: (307) 674-4552
Approximate (ZIP-level) locationGet directions
Mailing address
1969 S Sheridan Ave
Sheridan, WY 82801-6108
Registry dates
- Enumerated
- 2005-11-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.