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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN THOMAS HEROLDT, ED.D., HSPP

Active Sole Proprietor

DR. JOHN THOMAS HEROLDT, ED.D., HSPP is a Clinical Psychologist healthcare provider located in LA PORTE, Indiana. NPI 1699794644 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · LA PORTE, IN

Registration Details

NPI Number
1699794644
Provider Type
Individual
Gender
Male
NPI Issued
Jul 19, 2006 (20.119042250648 yrs)
Last Updated
Dec 14, 2007
License
20040372A (IN)
Sole Proprietor
Yes

Practice Information

Address
717 MICHIGAN AVE
LA PORTE, IN, 463503371
Browse IN providers · Browse ZIP 46350
Phone
2198742518
Fax
2197568945
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in LA PORTE, IN

Name Credential NPI
DR. CHRISTOPHER WESTON DRAPEAU PHD 1013511989
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.