Individual
TIM R KOCKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1224 S. RIVER ROAD, SUITE 221, ST GEORGE, UT 84790
(435) 632-1445
(435) 688-1091
Mailing address
PO BOX 153, ST. GEORGE, UT 84790
(435) 632-1445
(435) 688-1091
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
174673648
UT
Other
Enumeration date
08/09/2006
Last updated
04/23/2012
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