Organization
JENNIFER R. COOPER, PHD, PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER R COOPER PHD (CLINICAL PSYCHOLOGIST)
(541) 207-3937
Entity
Organization
Contact information
Practice address
833 NW BUCHANAN AVE STE 10, CORVALLIS, OR 97330-6217
(541) 207-3937
(541) 207-3623
Mailing address
833 NW BUCHANAN AVE STE 10, CORVALLIS, OR 97330-6217
(541) 207-3937
(541) 207-3623
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1835
OR
103TC2200X
Clinical Child & Adolescent Psychologist
1835
OR
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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