MRS. Therese M Herold, MED

NPI #1417217464 in Fort Pierce, Florida

Provider Information

NPI Number: 1417217464
Entity Type: Individual
Name: MRS. Therese M Herold, MED
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: MED
Enumeration Date: May 24, 2012
Last Updated: May 24, 2012

Practice Location

Address: 2814 S US HIGHWAY 1
Address 2: D-4
City: Fort Pierce
State: Florida
ZIP Code: 34982-8120
Phone: (772) 489-4726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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