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Individual

DR. KARA MATILE HENDRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
5348 1ST AVE N, SUITE D, ST PETERSBURG, FL 33710-8106
(727) 322-6123
(727) 322-6143
Mailing address
P.O. BOX 47918, ST PETERSBURG, FL 33743
(727) 322-6123
(727) 322-6143

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6690
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2179838
CIGNA BEHAVIORAL HEALTH
FL
01
3402278
AETNA
FL
01
54889
BLUE CROSS BLUE SHIELD
FL
01
55011000
MAGELLAN
FL
05
6870180701
FL
01
687018079
BRAIN AND SPINAL CORD INJ
FL
01
FL2056
BRADMAN NETWORK
FL
Enumeration date
09/26/2006
Last updated
05/20/2009
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