Provider Demographics
NPI:1588798748
Name:CLYMER, ROY EMERSON III (PHD)
Entity type:Individual
Prefix:DR
First Name:ROY
Middle Name:EMERSON
Last Name:CLYMER
Suffix:III
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPLOYMENT HEALTH CLILNICAL CTR
Mailing Address - Street 2:BLDG. 38, WRAMC
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20307-0001
Mailing Address - Country:US
Mailing Address - Phone:202-782-8945
Mailing Address - Fax:
Practice Address - Street 1:DEPLOYMENT HEALTH CLILNICAL CTR
Practice Address - Street 2:BLDG. 38, WRAMC
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0001
Practice Address - Country:US
Practice Address - Phone:202-782-8945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2045103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist