MEDICARE: MRS. JENNIFER LYNN KOCH PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY60313526	WA

General Provider Information

NPI Number	:	1407194970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER LYNN KOCH PSY.D.

Provider Business Mailing Address
First Line	:	111 TUMWATER BLVD SE STE C213
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98501-6400
Country	:	US
Telephone Number	:	360-706-2674
Fax Number	:	360-634-3565

Provider Business Practice Location Address
First Line	:	111 TUMWATER BLVD SE STE C213
Second Line	:
City	:	TUMWATER
State	:	WA
Zip	:	98501-6400
Country	:	US
Telephone Number	:	360-706-2674
Fax Number	:	360-634-3565

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2013
Last Update Date	:	06/17/2022

Similar Medicare Providers

1396746418 — VINCE A GILDNER JR. PT
Practice Location Address:

111 TUMWATER BLVD SE , SUITE 113
TUMWATER, WA
98501-6400

Practice Phone: 360-528-3300
Practice Fax: 360-528-8162

1851333082 — WILLIAM N ELLEDGE M.D.
Practice Location Address:

111 TUMWATER BLVD SE STE A302
TUMWATER, WA
98501-6400

Practice Phone: 360-839-2122
Practice Fax:

1619239357 — JESSICA SANCHEZ LMP
Practice Location Address:

111 TUMWATER BLVD SE , B106
TUMWATER, WA
98501-6400

Practice Phone: 360-786-8600
Practice Fax:

1811247000 — NICOLE BRANSON LMP
Practice Location Address:

111 TUMWATER BLVD SE # B106
TUMWATER, WA
98501-6400

Practice Phone: 360-786-8600
Practice Fax:

1447591011 — HAUNANI DAWN ATWOOD LMT
Practice Location Address:

111 TUMWATER BLVD SE STE C213
TUMWATER, WA
98501-6400

Practice Phone: 360-706-2674
Practice Fax: 360-634-3565

1154770188 — AMELIA SOHLER LMHC, SUDP
Practice Location Address:

111 TUMWATER BLVD SE
OLYMPIA, WA
98501-6400

Practice Phone: 360-791-7479
Practice Fax:

Directions to “ MRS. JENNIFER LYNN KOCH PSY.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.