The holder whose full name is HEROLDT, JOHN THOMAS,come from VALPARAISO IN,hold the Psychologist - Health Service Provider license(NO.20040372A) which status is Active.
| Name | HEROLDT, JOHN THOMAS |
|---|---|
| License Number | 20040372A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | VALPARAISO |
| State | IN |