Individual provider · Type 1 NPI

Roger Galen Clark, PSY.D.

Prescribing (Medical) Psychologist · Fort Campbell, KY

NPI number 1669501136 Active

Practice location

Blanchfield Army Community Hospital, 650 Joel Dr
Fort Campbell, KY 42223-5349

Call (270) 956-0129 Map

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X1187 (KY)
Psychologist 103T00000X2800 (TN)
Prescribing (Medical) Psychologist Primary 103TP0016X322138 (LA)

Prescribing (Medical) Psychologist: 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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

92 other providers at this address

About NPI 1669501136

Roger Galen Clark, PSY.D.'s National Provider Identifier is 1669501136, issued on Mar 2, 2007. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Fort Campbell, KY. The record was last updated on May 31, 2023.