Roger Galen Clark in Fort Campbell - Prescribing (medical)
Roger Galen Clark - NPI 1669501136
Roger Galen Clark is a Prescribing (medical) in Fort Campbell, Kentucky. Roger Galen Clark practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for Roger Galen Clark is 1669501136. The last update date is 2023-05-31.
Roger Galen Clark's current location address is Blanchfield Army Community Hospital, Fort Campbell, Kentucky. You can contact this provider via phone number 2709560129. The mailing address for Roger Galen Clark is Blanchfield Army Community Hospital, Fort Campbell, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Galen Clark |
|---|---|
| Address | Blanchfield Army Community Hospital, Fort Campbell, Kentucky |
| Phone Number | 2709560129 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1669501136 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2023-05-31 |
Provider Mailing Address Detail
| Address | Blanchfield Army Community Hospital |
|---|---|
| City | Fort Campbell |
| State | Kentucky (KY) |
| Post Code | 422235349 |
| Phone Number | 2709560129 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prescribing (medical) |
|---|---|
| Taxonomy | 103Tp0016X |
| Licence No | 322138 |
|
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 establis |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Roger Galen Clark by the Centers for Medicare & Medicaid Services?
The Roger Galen Clark has been issued the NPI (National Provider Identifier) 1669501136 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Roger Galen Clark's facilities are geographically located?
The facilities of Roger Galen Clark are physically situated at the following location: Blanchfield Army Community Hospital, Fort Campbell, KY, 422235349.
What is Roger Galen Clark's area of expertise and its corresponding taxonomy classification?
The Roger Galen Clark's field of specialization is Prescribing (medical), and it falls under the taxonomy code 103Tp0016X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669501136 to Roger Galen Clark?
The Centers for Medicare & Medicaid Services originally issued the 1669501136 to Roger Galen Clark on 2007-03-02.
As of what date was the information pertaining to Roger Galen Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Roger Galen Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-05-31.