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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FORREST RACKHAM, PSY.D

Active

FORREST RACKHAM, PSY.D is a Clinical Psychologist healthcare provider located in ROLLA, Missouri. NPI 1972841484 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · ROLLA, MO

Registration Details

NPI Number
1972841484
Provider Type
Individual
Gender
Male
NPI Issued
Jan 18, 2013 (13.545816618052 yrs)
Last Updated
Oct 9, 2025
Licenses
2017010362 (MO)
0810004701 (VA)

Practice Information

Address
575B BLUES LAKE PKWY
ROLLA, MO, 654018587
Browse MO providers · Browse ZIP 65401
Phone
5733642007
Fax
5732022402
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in ROLLA, MO

Name Credential NPI
MATTHEW P NOVAK PH. D. 1427147651
DR. DAVID D SEATON PSY.D. 1982725834
DR. HEATHER R. DERIX PSY.D. 1811106644
MRS. SANDRA MCMAHAN LPC, PLP 1215182894
MICHAELA MUEHLBACH PSYD 1083921381
MARY ELEANOR GIVENS PHD 1871019711
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.