JOHN THOMAS HEROLDT

LA PORTE, IN
NPI1699794644
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IN  20040372A)
Enumeration Date2006-07-19
Last Update Date2007-12-14
Business Address
Dr. JOHN THOMAS HEROLDT Ed.D., HSPP
717 MICHIGAN AVE
LA PORTE, IN 46350-3371
Phone number: 219-874-2518
Mailing Address
Dr. JOHN THOMAS HEROLDT Ed.D., HSPP
1652 TIPPECANOE CT
VALPARAISO, IN 46385-6142
Phone number: 219-874-2518