Gerald Hodan is a Clinical in St Petersburg, Florida. Gerald Hodan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gerald Hodan is 1578609632. The last update date is 2007-07-08.
Gerald Hodan's current location address is 734 37th Ave Ne, St Petersburg, Florida. You can contact this provider via phone number 7273990806 and fax number 8664693880. The mailing address for Gerald Hodan is 734 37th Ave Ne, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald Hodan |
|---|---|
| Address | 734 37th Ave Ne, St Petersburg, Florida |
| Phone Number | 7273990806 |
| Fax Number | 8664693880 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1578609632 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 734 37th Ave Ne |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337041620 |
| Phone Number | 7273990806 |
| Fax Number | 8664693880 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY2871 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 59499 | FL | BLUE SHIELD OF FL |
Post Comment/ Review Below
What is the Gerald Hodan's 1578609632?
The Gerald Hodan's NPI (National Provider Identifier) Number is 1578609632. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Gerald Hodan is physically located?
The Gerald Hodan is physically situated at the following address: 734 37Th Ave Ne, St Petersburg, FL, 337041620.
What is the Gerald Hodan's specialty and taxonomy code?
The Gerald Hodan's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Gerald Hodan receive its 1578609632 assignment from the Centers for Medicare & Medicaid Services?
The Gerald Hodan was assigned its 1578609632 by the Centers for Medicare & Medicaid Services on 2007-01-29.
As of what date was the information pertaining to Gerald Hodan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gerald Hodan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1063415297
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