Dr. Edward E. Latham PH.D.
Clinical Psychologist in Kingsport, TN(View on Map)
Full Name
Dr. Edward E Latham PH.D.
NPI Number
1851439988
NPI Type
Individual Provider
Gender
Male
Enumeration Date
02/01/2007
Specialties
(Taxonomies)Name
Code
103TC0700X
103TA0400X
103TA0700X
103TP2701X
103T00000X
Primary Taxonomy
Yes
No
No
No
No
Licenses
State
Tennessee
License Number
P1405
Contact
Information
Purpose
Mailing
Location
Address
404 E MARKET ST
404 E MARKET ST
City
Kingsport
Kingsport
State
TN
TN
Postal Code
37660-4828
37660-4828
Country
US
US
Telephone Number
(423) 392-6898
(423) 392-6898
Identifiers
Identifier
132696
1437005
063454
0099539
6109533
9213176
241583000
4418397
4067035
Identifier State
TN
TN
TN
TN
TN
TN
TN
TN
TN
Identifier Issuer
VALUE OPTIONS
UMWA
BCBS VA
BCBSTN
UNITED HEALTHCARE
PHCS
MAGELLAN
AETNA
BCBSTN-MEDICAL
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/24/2012
Provider Address
Other Clinical Psychologists in Kingsport, Tennessee:
Martha Rubenstein PH.D.
Kingsport, TNSpecialties: Clinical Psychologist (Primary)Adult Development & Aging PsychologistCounseling PsychologistFamily PsychologistPsychologist