Individual
DR. DIANE ABBY KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
312 E 7TH AVE, TAMPA, FL 33602-2300
(813) 399-1625
Mailing address
16105 CADBURY CT, TAMPA, FL 33647
(813) 632-3551
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY4230
FL
Other
Enumeration date
01/23/2007
Last updated
08/12/2014
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