DR. ROGER GALEN CLARK PSY.D. NPI 1669501136

NPI Information

DR. Roger Galen Clark, PSY.D. is a prescribing (medical) psychologist in Fort Campbell, KY. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. DR. Roger Galen Clark, PSY.D. NPI is 1669501136. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

BLANCHFIELD ARMY COMMUNITY HOSPITAL
650 JOEL DR
FORT CAMPBELL, KY
ZIP 42223-349
Phone: (270) 956-0129

The enumeration date for this NPI number is 3/2/2007 and was last updated on 5/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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