Provider Demographics
NPI:1083299598
Name:HEARD PSYCHOTHERAPY
Entity type:Organization
Organization Name:HEARD PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HEARD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:219-202-8747
Mailing Address - Street 1:10428 PRIVET DR
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-5383
Mailing Address - Country:US
Mailing Address - Phone:219-202-8747
Mailing Address - Fax:219-301-8748
Practice Address - Street 1:10428 PRIVET DR
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-5383
Practice Address - Country:US
Practice Address - Phone:219-202-8747
Practice Address - Fax:219-301-8748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-16
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty