Individual
DR. HEATHER N. KACOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
10770 N 46TH ST BLDG E, TAMPA, FL 33617-3442
(813) 631-2517
(813) 631-7130
Mailing address
10770 N 46TH ST BLDG E, TAMPA, FL 33617-3442
(813) 631-7123
(813) 631-7130
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10087
FL
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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