Individual provider · Type 1 NPI

Jason K. Koch, PSYD

Clinical Psychologist · Charleston, SC

NPI number 1245752245 Active

Practice location

109 Bee St
Charleston, SC 29401-5703

Mailing address

573 Polaris Way
Summerville, SC 29486-2476

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X1989 (SC)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1245752245

Jason K. Koch, PSYD's National Provider Identifier is 1245752245, issued on Jul 11, 2017. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Charleston, SC. The record was last updated on Jun 6, 2026.