Koch, Jaclyn
Koch, Jaclyn is an sole proprietor health care provider with primary practice located at 600 E 125Th St , New York NY 10035. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Koch, Jaclyn can be contacted via phone (646) 672-5864.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 019936-1 | New York |
Profile Details
| NPI number | 1942614268 |
|---|---|
| LBN Legal business name | Koch, Jaclyn |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2014 |
| Last updated | Aug 26th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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