| Jennifer R. Cooper, Phd, Psychological Services, Llc | |
|
833 Nw Buchanan Ave Ste 10 Corvallis OR 97330-6217 | |
| (541) 207-3937 | |
| (541) 207-3623 |
| Full Name | Jennifer R. Cooper, Phd, Psychological Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 833 Nw Buchanan Ave Ste 10, Corvallis, Oregon |
| Authorized Official Name and Position | Jennifer R Cooper (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5412073937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer R. Cooper, Phd, Psychological Services, Llc 833 Nw Buchanan Ave Ste 10 Corvallis OR 97330-6217 Ph: (541) 207-3937 | Jennifer R. Cooper, Phd, Psychological Services, Llc 833 Nw Buchanan Ave Ste 10 Corvallis OR 97330-6217 Ph: (541) 207-3937 |
| NPI Number | 1154502631 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 11/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154502631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1835 (Oregon) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 1835 (Oregon) | Secondary |
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