Clark, Roger Galen

Clark, Roger Galen is an sole proprietor health care provider with primary practice located at Blanchfield Army Community Hospital 650 Joel Dr, Fort Campbell KY 42223-5349. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Prescribing (Medical) is his primary health care specialty. Clark, Roger Galen can be contacted via phone (270) 956-0129.

Contact Information

Primary practice address
Blanchfield Army Community Hospital 650 Joel Dr Fort Campbell KY 42223-5349
Phone: (270) 956-0129
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1187 Kentucky
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2800 Tennessee
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 322138 Louisiana

Profile Details

NPI number 1669501136
LBN Legal business name Clark, Roger Galen
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated May 31st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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