Individual provider · Type 1 NPI

Carlissa Simone Cooper

Technician/Technologist · Bingham Farms, MI

NPI number 1255937520 Active

Practice location

32100 Telegraph Rd
Bingham Farms, MI 48025-2452

Call (248) 712-4266 Map

Mailing address

32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist Primary 156F00000XNone listed

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

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About NPI 1255937520

Carlissa Simone Cooper's National Provider Identifier is 1255937520, issued on Dec 10, 2020. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Bingham Farms, MI. The record was last updated on Dec 10, 2020.