# PSYCHOLOGY AND LEARNING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104993864
- **Authorized official:** DR. GARY KOCH PH.D. (PSYCHOLOGIST)
- **Authorized official phone:** (724) 728-6670

## Contact information

- **Practice address:** 3428 BRODHEAD RD, MONACA, PA 15061
- **Practice address phone:** (724) 728-6670
- **Practice address fax:** (724) 728-5570
- **Mailing address:** 3428 BRODHEAD RD, MONACA, PA 15061-3132
- **Mailing address phone:** (724) 728-6670
- **Mailing address fax:** (724) 728-5570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |
| 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