Edward E Latham in Kingsport - Group Psychotherapy

Edward E Latham - NPI 1851439988

Edward E Latham is a Group Psychotherapy in Kingsport, Tennessee. Edward E Latham practices all healthcare services and medical treatments related to Group Psychotherapy. The NPI Number for Edward E Latham is 1851439988. The last update date is 2012-01-24.

Edward E Latham's current location address is 404 E Market St, Kingsport, Tennessee. You can contact this provider via phone number 4233926898 and fax number 4233926900. The mailing address for Edward E Latham is 404 E Market St, Kingsport, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward E Latham
Address 404 E Market St, Kingsport, Tennessee
Phone Number 4233926898
Fax Number 4233926900
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1851439988
Provider Enumeration Date 2007-02-01
Last Updated Date 2012-01-24

Provider Mailing Address Detail

Address 404 E Market St
City Kingsport
State Tennessee (TN)
Post Code 376604828
Phone Number 4233926898
Fax Number 4233926900

Provider's Primary Taxonomy Detail

Speciality Group Psychotherapy
Taxonomy 103Tp2701X
Licence No P1405
Definition:
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
132696 TN VALUE OPTIONS
1437005 TN UMWA
63454 TN BCBS VA
99539 TN BCBSTN
6109533 TN UNITED HEALTHCARE
9213176 TN PHCS
241583000 TN MAGELLAN
4418397 TN AETNA
4067035 TN BCBSTN-MEDICAL

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FAQs about Edward E Latham

What is the Edward E Latham's unique identification number?

The Edward E Latham has been assigned the NPI (National Provider Identifier) Number 1851439988 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Edward E Latham's physical address?

The Edward E Latham is physically located at 404 E Market St, in the city of Kingsport, TN, with the postal code 376604828.

What is Edward E Latham's specialized field of practice, and what is the corresponding taxonomy classification code?

The Edward E Latham's area of specialization is Group Psychotherapy, and the corresponding taxonomy code that categorizes this field of practice is 103Tp2701X.

When did Edward E Latham receive its 1851439988 assignment?

The Edward E Latham was assigned its 1851439988 on 2007-02-01, which is the date when this unique identifier was issued to the organization.

When was the information regarding Edward E Latham most recently updated?

The details pertaining to the Edward E Latham, including its address, specialty, and other relevant information, were last refreshed on 2012-01-24.

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