Shaun Cooper, PHD is a
Psychologist - Addiction (substance Use Disorder) based in Highland Park, Michigan. Shaun Cooper is licensed to practice in Michigan (license number 6301008358) and his current practice location is
12501 Hamilton, Highland Park, Michigan. He can be reached at his office (for appointments etc.) via phone at
(313) 587-3092.
NPI number for Shaun Cooper is 1609167907 and his current mailing address is Po Box 725098, Berkley, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609167907.
Healthcare Provider's Profile
Full Name | Shaun Cooper |
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Gender | Male |
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Speciality | Psychologist - Addiction (substance Use Disorder) |
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Location | 12501 Hamilton, Highland Park, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609167907
- Provider Enumeration Date: 04/21/2011
- Last Update Date: 04/21/2011
Medical Identifiers
Medical identifiers for Shaun Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609167907 | NPI | - | NPPES |
2604097 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TA0400X | Psychologist - Addiction (substance Use Disorder) | 6301008358 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shaun Cooper is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
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 |
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