Search › Kentucky › 103TP0016X
Roger Clark, PSY.D
NPI 1669501136 · on the registry since 2007 · sole proprietor
Practice
- Address
- Blanchfield Army Community Hospital
650 Joel Dr
Fort Campbell, KY 42223 - Phone
- (270) 956-0129
- Clinicians at this address
- 75
Registry record
- Primary taxonomy
- 103TP0016X
103TP0016X
- Also registered as
- 103T00000X
103T00000X - Licence states on file
- KY, TN, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky