Healthcare Provider Details

I. General information

NPI: 1154149995
Provider Name (Legal Business Name): GABRIELA SLIZEWSKA LCGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2024
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1870 AMHERST ST STE 3A
WINCHESTER VA
22601-2841
US

IV. Provider business mailing address

213 BROOKS CIR
WINCHESTER VA
22601-2401
US

V. Phone/Fax

Practice location:
  • Phone: 540-536-3228
  • Fax: 540-536-3227
Mailing address:
  • Phone: 570-350-5351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number0139000756
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: