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NPI Code Detail

MEDICARE: GLENDA LEE SKRZYPEK PHD

MEDICARE: GLENDA LEE SKRZYPEK PHD
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
1103T00000XPsychologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2066966OTHERKSBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1912088824
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENDA LEE SKRZYPEK PHD
Provider Business Mailing Address
First Line : PO BOX 237
Second Line :
City : GARFIELD
State : AR
Zip : 72732-0237
Country : US
Telephone Number : 316-269-5000
Fax Number : 316-269-0404
Provider Business Practice Location Address
First Line : 215 N LAMAR AVE
Second Line :
City : HAYSVILLE
State : KS
Zip : 67060-1266
Country : US
Telephone Number : 316-269-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 10/22/2016

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