Dr. Ellen I Koch, PhD
Psychologist, Clinical in Brighton, MI. Individual provider (NPI-1).
NPI number1407214232
StatusActive
Last updated in NPPESFeb 8, 2016
Details
- NPI
- 1407214232
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ellen I Koch
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2016
- Last updated
- Feb 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6301011802 | MI | Yes |
Practice location
2040 Grand River Anx Ste 300Brighton, MI 48114-5313
Phone 734-678-4522 · Fax 734-547-8940
Mailing address
8436 Barrington DrYpsilanti, MI 48198-9495
Phone 734-678-4522 · Fax 734-547-8940
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