Organization
GLENN R KOCH AND ASSOCIATES INC
Active
Organization
GLENN R KOCH AND ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN ROBERT KOCH MA (PRESIDENT LICENSED PSYCHOLOGIST)
(610) 266-0610
Entity
Organization
Contact information
Practice address
961 MARCON BOULEVARD, SUITE 312, ALLENTOWN, PA 18109
(610) 266-0610
(610) 266-0292
Mailing address
961 MARCON BOULEVARD, SUITE 312, ALLENTOWN, PA 18109
(610) 266-0610
(610) 266-0292
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
PS005286L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016509210002
—
PA
01
—
02817200
CAPITAL BLUE CROSS
PA
01
—
GL1454227
HIGHMARK BLUE SHIELD
PA
Enumeration date
12/18/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up