Provider Demographics
NPI:1679300867
Name:WILCZEWSKA, KATARZYNA GRAZYNA (PSYD)
Entity type:Individual
Prefix:DR
First Name:KATARZYNA
Middle Name:GRAZYNA
Last Name:WILCZEWSKA
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:SISTER CORDIA
Other - Middle Name:
Other - Last Name:WILCZEWSKA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:800 E DAWSON ST
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-2036
Mailing Address - Country:US
Mailing Address - Phone:267-235-0323
Mailing Address - Fax:
Practice Address - Street 1:520 DOUGLAS BLVD
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702-8307
Practice Address - Country:US
Practice Address - Phone:903-606-1721
Practice Address - Fax:903-592-5618
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling