Provider Demographics
NPI:1003363292
Name:HERSTEIN, COOPER JOSEPH (LLBSW)
Entity Type:Individual
Prefix:
First Name:COOPER
Middle Name:JOSEPH
Last Name:HERSTEIN
Suffix:
Gender:M
Credentials:LLBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 NEWTON ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-4327
Mailing Address - Country:US
Mailing Address - Phone:517-449-2016
Mailing Address - Fax:
Practice Address - Street 1:729 NEWTON ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-4327
Practice Address - Country:US
Practice Address - Phone:517-449-2016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other