Provider Demographics
NPI:1780963793
Name:CLARK, JOY HUMPHREYS (PHD)
Entity type:Individual
Prefix:DR
First Name:JOY
Middle Name:HUMPHREYS
Last Name:CLARK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1002 ARBOR PARK DR STE 101
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-8585
Mailing Address - Country:US
Mailing Address - Phone:254-262-6743
Mailing Address - Fax:855-514-2815
Practice Address - Street 1:1002 ARBOR PARK DR STE 101
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-8585
Practice Address - Country:US
Practice Address - Phone:254-262-6743
Practice Address - Fax:855-514-2815
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-08
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38458103G00000X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist