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Forrest Rackham, PSYD
Clinical Psychologist in Rolla, Missouri
NPI 1972841484

Forrest Rackham is a Clinical Psychologist based in Rolla, MO and is specialized in Clinical. Forrest Rackham practices in Rolla, MO and has the professional credentials of PSYD. The NPI Number for Forrest Rackham is 1972841484 and holds a License No. 0810004701 (Missouri).

The current practice location address for Forrest Rackham is 575B Blues Lake Pkwy, Rolla, MO and can be reached out via phone at 573-364-2007 and via fax at 573-202-2402. You can also correspond with Forrest Rackham through the mailing address at 575B BLUES LAKE PKWY, ROLLA, MO - 65401-8587 (mailing address contact number: 573-364-2007).

Location: 575B Blues Lake Pkwy, Rolla, MO, 65401-8587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972841484
Provider Name
Forrest Rackham
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
575B Blues Lake Pkwy, Rolla, MO, 65401-8587
Phone Number
573-364-2007
Fax Number
573-202-2402
Provider Enumeration Date
01/18/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
575B Blues Lake Pkwy
City
Rolla
State
Missouri
Zip
65401-8587
Phone Number
573-364-2007
Fax Number
573-202-2402
person
Provider Business Mailing Address Details
Address
575B Blues Lake Pkwy
City
Rolla
State
Missouri
Zip
65401-8587
Phone Number
573-364-2007
Fax Number
573-202-2402
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
0810004701 (Virginia)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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