DR. John Thomas Heroldt, ED.D., HSPP

NPI #1699794644 in La Porte, Indiana

Provider Information

NPI Number
1699794644
Entity Type
Individual
Name
DR. John Thomas Heroldt, ED.D., HSPP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
ED.D., HSPP
Enumeration Date
Jul 19, 2006
Last Updated
Dec 14, 2007

Practice Location

Address
717 MICHIGAN AVE
State
Indiana
ZIP Code
46350-3371
Phone
(219) 874-2518

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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