Glenn R. Koch And Associates, Llc

NPI 1093122699 - Psychologist - 103TC1900X

NPI Details
NPI 1093122699
Enumeration Date 07/15/2014
Last Updated 07/15/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name GLENN ROBERT GLENN
Position LICENSED PSYCHOLOGIST
Phone (610) 266-0610
Fax (610) 266-0292
Practice Location
961 MARCON BLVD STE 312
ALLENTOWN PA, 18109-9373, US
Phone (610) 266-0610
Fax (610) 266-0292
Business Location
961 MARCON BLVD STE 312
ALLENTOWN PA, 18109-9373, US
Phone (610) 266-0610
Fax (610) 266-0292
Toxanomy
Taxonomy Code 103TC1900X
License State Pennsylvania
License Number PS005286-L
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According to our database, Glenn R. Koch And Associates, Llc NPI is 1093122699, taxonomy code is 103TC1900X and license number is PS005286-L, license state is located at Pennsylvania. Glenn R. Koch And Associates, Llc physically located at 961 Marcon Blvd Ste 312, Allentown PA, 18109-9373. NPI Number 1033115704 has the healthcare provider type.

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1093122699 NPI number is provided on an as is basis without warranty of any kind. 1093122699 is maintained by the National Plan & Provider Enumeration System. The contents of Glenn R. Koch And Associates, Llc are for informational purposes only.