Kosch, S Graham

Kosch, S Graham is an individual health care provider with primary practice located at 100 S Ponce De Leon Blvd Suite 1, St Augustine FL 32084-4214. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Kosch, S Graham can be contacted via phone (904) 824-7733.

Contact Information

Primary practice address
100 S Ponce De Leon Blvd Suite 1 St Augustine FL 32084-4214
Phone: (904) 824-7733
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY2354 Florida

Profile Details

NPI number 1528086329
LBN Legal business name Kosch, S Graham
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 24th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528086329 NPPES
Florida MEDICAID 254757100

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