MEDICARE: HELEN CHRISTINA GRZESKIEWICZ LCP

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
1	103T00000X	Psychologist	1497	KS

General Provider Information

NPI Number	:	1265740088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN CHRISTINA GRZESKIEWICZ LCP

Provider Business Mailing Address
First Line	:	2420 N WOODLAWN BLVD STE 300
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67220-3960
Country	:	US
Telephone Number	:	316-347-7157
Fax Number	:	316-247-9582

Provider Business Practice Location Address
First Line	:	2420 N WOODLAWN BLVD
Second Line	:	BLDG 300
City	:	WICHITA
State	:	KS
Zip	:	67220-3960
Country	:	US
Telephone Number	:	316-347-7157
Fax Number	:	316-247-9528

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2010
Last Update Date	:	05/15/2025

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