Roger Clark, PSY.D.
NPI 1669501136 belongs to Roger Clark, PSY.D., a prescribing (medical) psychologist with a practice location in Fort Campbell, KY. The NPI was issued on March 2, 2007, and the record was last updated in NPPES on May 31, 2023. The record lists 3 taxonomy codes.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prescribing (Medical) Psychologist Primary | 103TP0016X | 322138 (LA) |
| Psychologist | 103T00000X | 1187 (KY) |
| Psychologist | 103T00000X | 2800 (TN) |
Practice location
650 Joel Dr
Fort Campbell, KY 42223-5349
Local context
Active NPPES records list 1 provider with prescribing (medical) psychologist as the primary taxonomy within 25 miles of this practice location's ZIP code.
The same primary taxonomy is listed by 3 in Kentucky and 583 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Dr. Roger Galen Clark
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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