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NPI Code Detail

MEDICARE: DR. KATARZYNA GRAZYNA WILCZEWSKA PSY.D.

MEDICARE:  DR. KATARZYNA GRAZYNA WILCZEWSKA  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
1103TC1900XCounseling Psychologist
2103TC1900XCounseling Psychologist40462TX

General Provider Information

NPI Number : 1679300867
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATARZYNA GRAZYNA WILCZEWSKA PSY.D.
Provider Business Mailing Address
First Line : 800 E DAWSON ST
Second Line :
City : TYLER
State : TX
Zip : 75701-2036
Country : US
Telephone Number : 267-235-0323
Fax Number :
Provider Business Practice Location Address
First Line : 520 DOUGLAS BLVD
Second Line :
City : TYLER
State : TX
Zip : 75702-8307
Country : US
Telephone Number : 903-606-1721
Fax Number : 903-592-5618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2024
Last Update Date : 06/02/2026

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Directions to “ DR. KATARZYNA GRAZYNA WILCZEWSKA PSY.D.” Practice Location

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