Provider Demographics
NPI:1972012177
Name:KOCHER, DONNA LYNN (CASAC 2)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:LYNN
Last Name:KOCHER
Suffix:
Gender:F
Credentials:CASAC 2
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:LYNN
Other - Last Name:KOCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:276 CASCADE RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-3820
Mailing Address - Country:US
Mailing Address - Phone:516-521-2469
Mailing Address - Fax:
Practice Address - Street 1:116 RADIO CIRCLE DR STE 309
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-2631
Practice Address - Country:US
Practice Address - Phone:914-666-0191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-20
Last Update Date:2017-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)