Organization
MOBILE PSYCHOLOGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL L KOCH PH.D. (OWNER)
(251) 479-8677
Entity
Organization
Contact information
Practice address
2411 OLD SHELL RD, MOBILE, AL 36607-3019
(251) 479-8677
(251) 478-8097
Mailing address
2411 OLD SHELL RD, MOBILE, AL 36607-3019
(251) 479-8677
(251) 478-8097
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
198
AL
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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