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Dr. Roger Galen Clark, PSYD
Prescribing (Medical) Psychologist in Fort Campbell, Kentucky
NPI 1669501136

Roger Galen Clark is a Prescribing (Medical) Psychologist based in Fort Campbell, KY and is specialized in Prescribing (Medical). Roger Galen Clark practices in Fort Campbell, KY and has the professional credentials of PSYD. The NPI Number for Roger Galen Clark is 1669501136 and holds a License No. 1187 (Kentucky).

The current practice location address for Roger Galen Clark is Blanchfield Army Community Hospital, Fort Campbell, KY and can be reached out via phone at 270-956-0129.

Location: Blanchfield Army Community Hospital, Fort Campbell, KY, 42223-5349
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669501136
Provider Name
Roger Galen Clark
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
Blanchfield Army Community Hospital, Fort Campbell, KY, 42223-5349
Phone Number
270-956-0129
Fax Number
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Blanchfield Army Community Hospital
City
Fort Campbell
State
Kentucky
Zip
42223-5349
Phone Number
270-956-0129
Fax Number
person
Provider Business Mailing Address Details
Address
Blanchfield Army Community Hospital
City
Fort Campbell
State
Kentucky
Zip
42223-5349
Phone Number
270-956-0129
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
2800 (Tennessee)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
1187 (Kentucky)
Definition
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.
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