Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROGER H BELISLE, PH.D.
Active Sole ProprietorForensic Psychologist · ELLSWORTH AFB, SD
Registration Details
- NPI Number
- 1396047270
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 24, 2010 (15.408627565235 yrs)
- Last Updated
- Jul 25, 2023
- Licenses
-
577 (SD)0810004580 (VA)36625 (TX)5770810004580 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2900 DOOLITTLE DRELLSWORTH AFB, SD, 577064821Browse SD providers · Browse ZIP 57706
- Phone
- 6053853656
- Primary Specialty
-
Forensic Psychologist
103TF0200X
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Forensic Psychologist
- Additional Specialty
- Forensic Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.