| Jennifer Koch, Psy.d., Pllc | |
|
111 Tumwater Blvd Se Ste C213 Tumwater WA 98501-6400 | |
| (360) 706-2674 | |
| (360) 634-3565 |
| Full Name | Jennifer Koch, Psy.d., Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 111 Tumwater Blvd Se Ste C213, Tumwater, Washington |
| Authorized Official Name and Position | Jennifer Koch (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 3607062674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Koch, Psy.d., Pllc 111 Tumwater Blvd Se Ste C213 Tumwater WA 98501-6400 Ph: (360) 706-2674 | Jennifer Koch, Psy.d., Pllc 111 Tumwater Blvd Se Ste C213 Tumwater WA 98501-6400 Ph: (360) 706-2674 |
| NPI Number | 1184355562 |
|---|---|
| Provider Enumeration Date | 06/17/2022 |
| Last Update Date | 07/01/2022 |
| Certification Date | 07/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184355562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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