Koch, Rebecca
Koch, Rebecca is an sole proprietor health care provider with primary practice located at 11 Sumner St , Gloucester MA 01930-2019. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Koch, Rebecca can be contacted via phone (978) 281-6862.Contact Information
Primary practice address
11 Sumner St
Gloucester MA 01930-2019
Phone: (978) 281-6862
Fax: (978) 281-6982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1149 | Massachusetts |
Profile Details
| NPI number | 1083702708 |
|---|---|
| LBN Legal business name | Koch, Rebecca |
| Credentials | MA, LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083702708 | NPPES |
| Massachusetts | Other | LMO443 | BC/BS |
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