Shaun Cooper
Addiction Psychologist (Substance Use Disorder)
12501 Hamilton
Highland Park
, Michigan 48203
Shaun Cooper
Addiction Psychologist (Substance Use Disorder)
12501 Hamilton
Highland Park
, Michigan 48203
(313) 587-3092
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Shaun Cooper
- Po Box 725098
- Berkley, MI
- Zip : 48072-5098
- Phone : (313) 587-3092
Second Address
- Shaun Cooper
- 12501 Hamilton
- Highland Park, MI
- Zip : 48203
- Phone : (313) 587-3092
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 6301008358 | MI |
National Provider Identifier
| NPI | 1609167907 |
|---|---|
| Provider Name | Shaun Cooper |
| First Address | Berkley, MI 48072-5098 |
| Second Address | Highland Park, MI 48203 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/04/2011 |
| Last Update Date | 21/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2604097 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.