Provider Demographics
NPI:1245417518
Name:KOCH, DANA FEIN (AUD)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:FEIN
Last Name:KOCH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 HUTTON LN STE 107
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7245
Mailing Address - Country:US
Mailing Address - Phone:336-884-5929
Mailing Address - Fax:336-858-8780
Practice Address - Street 1:1008 HUTTON LN STE 107
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7245
Practice Address - Country:US
Practice Address - Phone:336-884-5929
Practice Address - Fax:336-858-8780
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10683231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist