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3502 Henderson Blvd Ste 306 Tampa FL 33609-3970 | |
| (813) 738-3898 | |
| (813) 642-4893 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3502 Henderson Blvd Ste 306, Tampa, Florida |
| Authorized Official Name and Position | Katherine Hittel (LICENSED PSYCHOLOGIST/PRESIDENT) |
| Authorized Official Contact | 8137383898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3502 Henderson Blvd Ste 306 Tampa FL 33609-3970 Ph: (813) 738-3898 | 3502 Henderson Blvd Ste 306 Tampa FL 33609-3970 Ph: (813) 738-3898 |
| NPI Number | 1194404806 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 05/02/2024 |
| Certification Date | 05/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194404806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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