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Contact Information

RUSSELL E KOCH, PHD
820 WALL ST
NORMAN, OK73069
 Phone: 405-928-2044
 Fax: 405-928-2049
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RUSSELL E KOCH · (Male)

NPI Number 1275630410
Status Active
Credentials PHD
Entity Individual
Enumeration date 09/20/2006
Last updated 04/13/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 602
  • OK Medicaid 100838010A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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