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James Roethler, PSYD Valid NPI

Individual provider · Clinical Psychologist · Fort Campbell, KY

NPI
1023599909
Type
Individual (Type 1)
Primary specialty
Clinical Psychologist (Psychologist)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
103TC0700X
License number
0810009074 (VA)
Sex
Male
Sole proprietor
Yes
Enumerated
2018-08-28
Last updated
2026-06-14
Practice location
650 Joel Dr
Fort Campbell, KY 42223-8355
(641) 530-3076

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