Mr Glenn R Koch, MA - Psychologist in Allentown, PA

Mr Glenn R Koch, MA is a Psychologist based in Allentown, Pennsylvania. Mr Glenn R Koch is licensed to practice in Pennsylvania (license number PS005286L) and his current practice location is 961 Marcon Blvd, Allentown, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (610) 266-0610.

NPI number for Mr Glenn R Koch is 1093854309 and his current mailing address is 961 Marcon Blvd, Allentown, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093854309.

Contact Information

Mr Glenn R Koch, MA
961 Marcon Blvd,
Allentown, PA 18109
(610) 266-0610
(610) 266-0293



Healthcare Provider's Profile

Full NameMr Glenn R Koch
GenderMale
SpecialityPsychologist
Location961 Marcon Blvd, Allentown, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093854309
  • Provider Enumeration Date: 02/05/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Glenn R Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093854309NPI-NPPES
01979901OtherINDIVIDUAL
0016509210002MedicaidPA
02817200OtherCAPITAL GR NUMBER
0453403000OtherPIN
GL1454227OtherHIGHMARK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PS005286L (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Glenn R Koch is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Glenn R Koch, MA
961 Marcon Blvd,
Allentown, PA 18109

Ph: (610) 266-0610
Mr Glenn R Koch, MA
961 Marcon Blvd,
Allentown, PA 18109

Ph: (610) 266-0610

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› Verified 1 days ago


Psychologist in Allentown, PA

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