Individual
CATHERINE HEROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
405 FAIRGROUNDS RD, TIPTON, IN 46072-9596
(765) 408-0536
(765) 408-0539
Mailing address
800 FULTON ST, C/O ANNE LAWSON, LOGANSPORT, IN 46947-1577
(574) 205-2600
(574) 739-1414
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01036845A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200031780A
—
IN
Enumeration date
12/27/2006
Last updated
04/05/2017
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