Provider Demographics
NPI:1700145893
Name:JOAN R DAVID, PH.D.
Entity Type:Organization
Organization Name:JOAN R DAVID, PH.D.
Other - Org Name:CLARITY PSYCHOLOGICAL SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:DAVID
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:714-593-2355
Mailing Address - Street 1:9550 WARNER AVE.,
Mailing Address - Street 2:STE. 250-05
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-2500
Mailing Address - Country:US
Mailing Address - Phone:714-593-2355
Mailing Address - Fax:714-593-2399
Practice Address - Street 1:9550 WARNER AVE.,
Practice Address - Street 2:STE. 250-05
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-2500
Practice Address - Country:US
Practice Address - Phone:714-593-2355
Practice Address - Fax:714-593-2399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 22928103T00000X, 103TB0200X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0A608AMedicare UPIN