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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES A KOCH, MA, LP

Active Sole Proprietor

CHARLES A KOCH, MA, LP is a Psychologist healthcare provider located in BROOKLYN PARK, Minnesota. NPI 1346308038 is currently active in the NPPES registry. Verify at CMS.

Psychologist · BROOKLYN PARK, MN

Registration Details

NPI Number
1346308038
Provider Type
Individual
Gender
Male
NPI Issued
Dec 5, 2006 (19.665287078658 yrs)
Last Updated
Jul 8, 2007
License
1250 (MN)
Sole Proprietor
Yes

Practice Information

Address
6900 78TH AVE N
BROOKLYN PARK, MN, 554452719
Browse MN providers · Browse ZIP 55445
Phone
7635604412
Primary Specialty
Psychologist
103T00000X

Other Psychologist Providers in BROOKLYN PARK, MN

Name Credential NPI
DR. CAROLYN DOROTHY PARSONS PSYD, LP 1669490066
MS. JONI C. CHARBONNEAU 1699058503
CINDY RAE MOE LP 1538754569
OJO STEPHEN ORIBAMISE 1043095326
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.