Individual
MR. EREN ROUBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4000
Mailing address
919 W NEWPORT AVE, APT 1, CHICAGO, IL 60657-2639
(612) 203-2927
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10840553-2501
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2010
Last updated
03/07/2022
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