| Doctor Name: | MICHAEL DAVID-PAUL COOPER |
| NPI Number: | 1174721997 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMSW |
| License Number: | 6801088192 |
| Business Practice Address: | 201 W Railroad St Suite A Saint Johns, MI - 488791547 |
| Business Phone Number: | 9892245300 |
| Business Fax Number: | 5173468291 |
| Mailing Address: | 812 E Jolly Rd, Suite 210 LANSING |
| State: | MI |
| Postal Code: | 489106818 |
| Phone Number: | 5173468306 |
| Fax Number: | 5173468291 |
| NPI Enumeration Date: | 07/03/2007 |
| NPI Last Update Date: | 06/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801088192 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |