Glenn R Koch is a Psychologist in Allentown, Pennsylvania. Glenn R Koch practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Glenn R Koch is 1093854309. The last update date is 2007-07-08.
Glenn R Koch's current location address is 961 Marcon Blvd, Allentown, Pennsylvania. You can contact this provider via phone number 6102660610 and fax number 6102660292. The mailing address for Glenn R Koch is 961 Marcon Blvd, Allentown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn R Koch |
|---|---|
| Address | 961 Marcon Blvd, Allentown, Pennsylvania |
| Phone Number | 6102660610 |
| Fax Number | 6102660292 |
| Sole Proprietor | N |
| Credentials | MA |
NPI Number Detail
| NPI Number | 1093854309 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 961 Marcon Blvd |
|---|---|
| City | Allentown |
| State | Pennsylvania (PA) |
| Post Code | 18109 |
| Phone Number | 6102660610 |
| Fax Number | 6102660292 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS005286L |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1979901 | INDIVIDUAL | ||
| 16509210002 | PA | -- | |
| 2817200 | CAPITAL GR NUMBER | ||
| 453403000 | PIN | ||
| GL1454227 | HIGHMARK |
Post Comment/ Review Below
What is the unique identifier code issued to Glenn R Koch by the Centers for Medicare & Medicaid Services (CMS)?
The Glenn R Koch has been assigned the NPI (National Provider Identifier) 1093854309. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Glenn R Koch is located?
The Glenn R Koch is situated at the following address: 961 Marcon Blvd, Allentown, PA, 18109.
What is Glenn R Koch's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Glenn R Koch is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093854309 to Glenn R Koch?
The Centers for Medicare & Medicaid Services originally issued the 1093854309 to Glenn R Koch on 2007-02-05.
When was the information regarding Glenn R Koch, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Glenn R Koch, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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