Cooper Jordan Roubic, is a
Psychologist - Clinical Child & Adolescent based in Garrettsville, Ohio. Cooper Jordan Roubic is licensed to practice in * (Not Available) (license number ) and his current practice location is
10802 Forest St Apt 22, Garrettsville, Ohio. He can be reached at his office (for appointments etc.) via phone at
(330) 978-6561.
NPI number for Cooper Jordan Roubic is 1790255669 and his current mailing address is 10802 Forest St, Garrettsville, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790255669.
Healthcare Provider's Profile
Full Name | Cooper Jordan Roubic |
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Gender | Male |
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Speciality | Psychologist - Clinical Child & Adolescent |
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Location | 10802 Forest St Apt 22, Garrettsville, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790255669
- Provider Enumeration Date: 12/04/2018
- Last Update Date: 12/04/2018
Medical Identifiers
Medical identifiers for Cooper Jordan Roubic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790255669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cooper Jordan Roubic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Cooper Jordan Roubic, 10802 Forest St, Garrettsville, OH 44231-1079 Ph: () - | Cooper Jordan Roubic, 10802 Forest St Apt 22, Garrettsville, OH 44231-1077 Ph: (330) 978-6561 |
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