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