Individual
SARAH A KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(888) 484-3258
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103G00000X
Clinical Neuropsychologist
Primary
20043303A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001462271
ANTHEM PTAN
IN
01
—
000001639553
ANTHEM PTAN
IN
05
—
300044706
—
IN
05
—
300044964
—
IN
Enumeration date
06/12/2017
Last updated
03/17/2025
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