Individual
DR. MARY ANN KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7153 TALL OAK LN, ROANOKE, VA 24018-6834
(540) 529-5252
(540) 989-8893
Mailing address
7153 TALL OAK LN, ROANOKE, VA 24018-6834
(540) 529-5252
(540) 989-8893
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810001187
VA
Other
Enumeration date
08/17/2006
Last updated
02/22/2021
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