Individual
DR. CYNTHIA KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
93 FRANKLIN TPKE, WALDWICK, NJ 07463-1820
(201) 670-7887
Mailing address
93 FRANKLIN TPKE, WALDWICK, NJ 07463
(201) 670-7887
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2798
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051100
VALUE OPTIONS
NJ
Enumeration date
04/26/2007
Last updated
07/08/2007
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