DIANA CARSON GRYSZKIEWICZ LPC
NPI 1477333292
Counselor - Professional in Groton, CT
Active since September 29, 2023
About Diana Carson Gryszkiewicz Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIANA CARSON GRYSZKIEWICZ LPC (NPI 1477333292) is an individual professional provider in Groton, Connecticut, licensed in Connecticut (006037) and active in the NPI registry since September 2023.
NPPES Registry Identity
NPI1477333292
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDIANA CARSON GRYSZKIEWICZCredential: LPC
Location Address1353 GOLD STAR HWYGroton, CT 06340-2739
Mailing Address1353 Gold Star HwyGroton, CT 06340-2739 · (860) 629-8437
Phone(860) 629-8437
Sole ProprietorNo
Enumeration DateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1477333292 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 006037
1353 GOLD STAR HWY, Groton, CT 06340
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1353 GOLD STAR HWY
GROTON, CT 06340
GROTON, CT 06340
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477333292, enumerated as an "individual" on September 29, 2023.
The provider is located at 1353 GOLD STAR HWY GROTON, CT 06340 and the phone number is (860) 629-8437.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
