Mr Glenn R Koch, MA | |
961 Marcon Blvd, Allentown, PA 18109 | |
(610) 266-0610 | |
(610) 266-0293 |
Full Name | Mr Glenn R Koch |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 961 Marcon Blvd, Allentown, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093854309 | NPI | - | NPPES |
01979901 | Other | INDIVIDUAL | |
0016509210002 | Medicaid | PA | |
02817200 | Other | CAPITAL GR NUMBER | |
0453403000 | Other | PIN | |
GL1454227 | Other | HIGHMARK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PS005286L (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Glenn R Koch, MA 961 Marcon Blvd, Allentown, PA 18109 Ph: (610) 266-0610 | Mr Glenn R Koch, MA 961 Marcon Blvd, Allentown, PA 18109 Ph: (610) 266-0610 |
Dr. Ehren Emter, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 450 Chew St Ste 101, Allentown, PA 18102 Phone: 610-776-4888 | |
Karissa Rizzolino-dauscher, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2132 S 12th St Ste 103, Allentown, PA 18103 Phone: 484-350-3447 | |
Lyssa Gagnon, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1250 S Cedar Crest Blvd Ste 410, Allentown, PA 18103 Phone: 610-402-3500 Fax: 610-402-3505 | |
Dr. Lowell W Hoffman, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7540 Windsor Dr, Suite 105, Allentown, PA 18195 Phone: 610-395-3005 Fax: 610-391-1711 | |
Mr. Wayne Barry Wermuth, MED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1145 Clearwood Dr, Allentown, PA 18103 Phone: 610-821-8866 Fax: 610-366-1960 | |
Farah Andre Moyer, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 2132 S 12th St Ste 402, Allentown, PA 18103 Phone: 484-602-5775 Fax: 484-350-3811 | |
Ilsa Loetzbeier, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3382 Devonshire Rd, Allentown, PA 18103 Phone: 610-791-2272 |