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General NPI Number Information
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NPI Number | 1407474257
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Entity Type | Individual
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Provider Name | WILLIAM LAWRENCE HEARD PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 10428 PRIVET DR
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City | CROWN POINT
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State | IN
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Zip | 46307-5383
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Country | US
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Telephone | 219-202-8747
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Fax | 219-301-8748
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Provider Business Mailing Address
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Address Line | 10428 PRIVET DR
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City | CROWN POINT
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State | IN
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Zip | 46307-5383
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Country | US
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Telephone | 219-202-8747
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Fax | 219-301-8748
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 20043390A
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License Number State | IN
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