Healthcare Provider Details

I. General information

NPI: 1093604225
Provider Name (Legal Business Name): HELEN KRIETEMEYER-SUAREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HELEN SUAREZ

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 OLYMPIC BLVD STE 300
WALNUT CREEK CA
94596-5077
US

IV. Provider business mailing address

1910 OLYMPIC BLVD STE 300
WALNUT CREEK CA
94596-5077
US

V. Phone/Fax

Practice location:
  • Phone: 925-322-1261
  • Fax:
Mailing address:
  • Phone: 925-322-1261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number94029844
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number94029844
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: