John William Koechel, PH.D. Valid NPI
Individual provider · Clinical Psychologist · Fort Worth, TX
- NPI
- 1952405250
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- 21480 (TX)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-09-08
- Last updated
- 2007-07-08
Practice location
2825 Stadium Drive
Fort Worth, TX 76109
(817) 257-7863