Individual
DR. HEATH HERBERT FERVIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, HSPP, MDIV
Contact information
Practice address
59466 COUNTY ROAD 113, ELKHART, IN 46517-3644
(574) 830-5778
(574) 830-5157
Mailing address
59466 COUNTY ROAD 113, ELKHART, IN 46517-3644
(574) 830-5778
(574) 830-5157
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042483A
IN
Other
Enumeration date
01/13/2011
Last updated
02/21/2023
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