| Shaun Cooper, PHD | |
|
12501 Hamilton, Highland Park, MI 48203 | |
| (313) 587-3092 | |
| Not Available |
| Full Name | Shaun Cooper |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 12501 Hamilton, Highland Park, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609167907 | NPI | - | NPPES |
| 2604097 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 6301008358 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shaun Cooper, PHD Po Box 725098, Berkley, MI 48072-5098 Ph: (313) 587-3092 | Shaun Cooper, PHD 12501 Hamilton, Highland Park, MI 48203 Ph: (313) 587-3092 |
Ms. Ruby Lee, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 77 Victor St, Highland Park, MI 48203 Phone: 313-252-1950 | |
Myles Alexander Beatty-morgan, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 28 Rhode Island St, Highland Park, MI 48203 Phone: 313-282-3668 |