Provider Demographics
NPI:1336450063
Name:KASPRZYK, KRYSTINA (LMHC)
Entity Type:Individual
Prefix:
First Name:KRYSTINA
Middle Name:
Last Name:KASPRZYK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KRYSTINA
Other - Middle Name:
Other - Last Name:GESCHWENDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:100 CORPORATE PKWY STE 318
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1200
Mailing Address - Country:US
Mailing Address - Phone:716-539-0549
Mailing Address - Fax:
Practice Address - Street 1:100 CORPORATE PKWY STE 318
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1200
Practice Address - Country:US
Practice Address - Phone:716-539-0549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)