Organization
KARA M. HENDRY,PSY.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARA MATILE HENDRY PSY.D., P.A. (PRESIDENT)
(727) 322-6123
Entity
Organization
Contact information
Practice address
5348 1ST AVE N, ST PETERSBURG, FL 33710-8106
(727) 322-6123
(727) 322-6143
Mailing address
PO BOX 47918, ST PETERSBURG, FL 33743-7918
(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
—
1306947809
ORIGINAL NPI #
FL
Enumeration date
03/16/2007
Last updated
05/18/2009
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