Individual
DR. HEATHER VERDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1 PARK ROW ST, MICHIGAN CITY, IN 46360-6597
(219) 874-7258
Mailing address
1207 WRIGHT AVE, LA PORTE, IN 46350-6030
(317) 469-6847
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043090A
IN
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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