Individual
GERALD HODAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3745 5TH AVE N, ST PETERSBURG, FL 33713-7519
(727) 399-0806
(866) 469-3880
Mailing address
734 37TH AVE NE, ST PETERSBURG, FL 33704-1620
(727) 399-0806
(866) 469-3880
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2871
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59499
BLUE SHIELD OF FL
FL
Enumeration date
01/29/2007
Last updated
07/08/2007
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