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Organization
PSYCHOLOGY AND LEARNING CENTER
Active
Organization
PSYCHOLOGY AND LEARNING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY KOCH PH.D. (PSYCHOLOGIST)
(724) 728-6670
Entity
Organization
Contact information
Practice address
3428 BRODHEAD RD, MONACA, PA 15061
(724) 728-6670
(724) 728-5570
Mailing address
3428 BRODHEAD RD, MONACA, PA 15061-3132
(724) 728-6670
(724) 728-5570
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
11/29/2006
Last updated
08/07/2019
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