Individual
MS. JUDITH ANN KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10 WILSEY SQ, RIDGEWOOD, NJ 07450-3792
(201) 447-2004
Mailing address
266 N CENTRAL AVE, RAMSEY, NJ 07446-1416
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SI03785
NJ
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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