Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY KOCH, PH.D.
Active Sole ProprietorChild, Clinical Psychologist · BEAVER, PA
Registration Details
- NPI Number
- 1861845208
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2016 (9.7606703955725 yrs)
- Last Updated
- Jul 21, 2018
- Licenses
-
PS018065 (PA)PS018065 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 MARKET ST STE 204BBEAVER, PA, 15009Browse PA providers · Browse ZIP 15009
- Phone
- 7247286670
- Fax
- 7247285570
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Child, Clinical Psychologist
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.