Individual
ALISON KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4629 S HARVARD AVE, SUITE A, TULSA, OK 74135-2948
(918) 710-2370
(918) 398-7983
Mailing address
4629 S HARVARD AVE, SUITE A, TULSA, OK 74135-2948
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200557240A
—
OK
Enumeration date
05/24/2013
Last updated
08/13/2015
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