Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COOPER JORDAN ROUBIC
Active Sole ProprietorCOOPER JORDAN ROUBIC is a Child, Clinical Psychologist healthcare provider located in GARRETTSVILLE, Ohio. NPI 1790255669 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · GARRETTSVILLE, OH
Registration Details
- NPI Number
- 1790255669
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2018 (7.7376412681494 yrs)
- Last Updated
- Dec 4, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
10802 FOREST ST APT 22GARRETTSVILLE, OH, 442311077Browse OH providers · Browse ZIP 44231
- Phone
- 3309786561
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
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.