DR. Ellen I Koch, PHD

NPI #1407214232 in Brighton, Michigan

Provider Information

NPI Number: 1407214232
Entity Type: Individual
Name: DR. Ellen I Koch, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Feb 8, 2016
Last Updated: Feb 8, 2016

Practice Location

Address: 2040 GRAND RIVER ANX STE 300
City: Brighton
State: Michigan
ZIP Code: 48114-5313
Phone: (734) 678-4522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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