IndividualActive
Gary Koch, PH.D.
NPI 1861845208 · Clinical Child & Adolescent Psychologist · Beaver, PA
Provider details
- NPI number
- 1861845208
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PS018065 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
500 Market St Ste 204b
Beaver, PA 15009
Phone: (724) 728-6670
Fax: (724) 728-5570
Approximate (ZIP-level) locationGet directions
Mailing address
500 Market St Ste 204b
Beaver, PA 15009-2998
Additional practice locations (1)
- 101 Serendipity DrCoraopolis, PA 15108-1153Phone: (412) 980-6532
Registry dates
- Enumerated
- 2016-07-21
- Last updated
- 2018-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.