Heath H Fervida PC

NPI #1285928176 in Goshen, Indiana

Provider Information

NPI Number: 1285928176
Entity Type: Organization
Organization Name: Heath H Fervida PC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jun 8, 2011
Last Updated: Jun 8, 2011

Practice Location

Address: 1930 W LINCOLN AVE
City: Goshen
State: Indiana
ZIP Code: 46526-5907
Phone: (574) 534-2161

Authorized Official

Name: HEATH HERBERT FERVIDA, PSYD, HSPP
Title: OWNER
Phone: (574) 534-2161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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