Individual
DR. JOHN WILLIAM KOECHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2825 STADIUM DRIVE, FORT WORTH, TX 76109
(817) 257-7863
(817) 257-7320
Mailing address
2435 SHIRLEY AVE, FORT WORTH, TX 76109-1016
(817) 924-9900
(817) 257-7320
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
21480
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21480
CLINICAL PSYCHOLOGIST
TX
Enumeration date
09/08/2006
Last updated
07/08/2007
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