KRISTEN A. HUDACEK, PSY.D., PLC
Agencies at Himes Ave, Tampa, FL

License number
Florida PY 7334
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: DR. KRISTEN ANNE HUDACEK PSY.D.
Title: PRESIDENT
Phone: (813) 610-6007
Address
Address
8019 N Himes Ave SUITE 400, Tampa, FL 33614
National Provider ID: 1538377973
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Kristen A. Hudacek, Psy.D., Plc

8019 N Himes Ave, Tampa, FL 33614

Industry:
Medical Doctor's Office
President, Principal:
Kristen A. Hudacek (President, Principal)

KRISTEN A. HUDACEK, PSY.D., PLC

5701 Mariner St #402, Tampa, FL 33609

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Aug 16, 2006
Inactive since:
Sep 25, 2009
State ID:
L06000081011
Business type:
Florida Limited Liability Company
Managing Member:
Kristen A Hudacek Managing Member, inactive, 5701 Mariner St #402, Tampa, FL 33609 (Physical)
Agent:
Kristen Hudacek,5701 Mariner St #402, Tampa, FL 33609 (Physical)
EIN:
205382983

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