Organization Name: | THE KOCH CENTER, PC |
NPI Number: | 1518189844 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA KOCH (PRESIDENT) |
Mailing Address: | 110 Warren Ave Ho Ho Kus |
State: | NJ US |
Postal Code: | 074231566 |
Phone Number: | 2016706450 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |