| Glenn R Koch And Associates Inc | |
|
961 Marcon Boulevard Suite 312 Allentown PA 18109 | |
| (610) 266-0610 | |
| (610) 266-0292 |
| Full Name | Glenn R Koch And Associates Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 961 Marcon Boulevard, Allentown, Pennsylvania |
| Authorized Official Name and Position | Glenn Robert Koch (PRESIDENT LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6102660610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn R Koch And Associates Inc 961 Marcon Boulevard Suite 312 Allentown PA 18109 Ph: (610) 266-0610 | Glenn R Koch And Associates Inc 961 Marcon Boulevard Suite 312 Allentown PA 18109 Ph: (610) 266-0610 |
| NPI Number | 1700949161 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700949161 | NPI | - | NPPES |
| 0016509210002 | Medicaid | PA | |
| 02817200 | Other | PA | CAPITAL BLUE CROSS |
| GL1454227 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | PS005286L (Pennsylvania) | Primary |
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