Individual
PATRICIA D KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2500 METROHEALTH DR, MHMC-PSYCHIATRY, CLEVELAND, OH 44109-1900
(216) 778-3737
Mailing address
2500 METROHEALTH DR, MHMC-PSYCHIATRY, CLEVELAND, OH 44109-1900
(216) 778-3737
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
I-0005002
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26848805700
BWC
OH
Enumeration date
07/13/2006
Last updated
07/08/2007
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