Individual provider · Type 1 NPI

Rollen Michael Cooper, MS

Developmental Therapist · Wood Dale, IL

NPI number 1417180167 Active

Practice location

180 Hansen Ct
Wood Dale, IL 60191-1121

Fax (630) 595-3066

Mailing address

2312 W Belmont Ave Apt 2E
Chicago, IL 60618-6845

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000X1910812 (IL)

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1417180167

Rollen Michael Cooper, MS's National Provider Identifier is 1417180167, issued on Aug 28, 2009. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Wood Dale, IL. The record was last updated on Oct 15, 2026.