Individual provider · Type 1 NPI

John Thomas Heroldt, ED.D., HSPP

Clinical Psychologist · La Porte, IN

NPI number 1699794644 Active

Practice location

717 Michigan Ave
La Porte, IN 46350-3371

Fax (219) 756-8945

Mailing address

1652 Tippecanoe Ct
Valparaiso, IN 46385-6142

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X20040372A (IN)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1699794644

John Thomas Heroldt, ED.D., HSPP's National Provider Identifier is 1699794644, issued on Jul 19, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in La Porte, IN. The record was last updated on Dec 14, 2007.