Individual
DR. KRISTEN ANNE HUDACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4720 CLEVELAND HEIGHTS BLVD, SUITE 105, LAKELAND, FL 33813-2243
(863) 701-9292
Mailing address
5701 MARINER ST, #402, TAMPA, FL 33609-3442
(813) 610-6007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7334
FL
103TF0200X
Forensic Psychologist
PY 7334
FL
Other
Enumeration date
05/18/2007
Last updated
12/26/2007
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