Latham, Edward E

Latham, Edward E is an sole proprietor health care provider with primary practice located at 404 E Market St , Kingsport TN 37660-4828. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Latham, Edward E can be contacted via phone (423) 392-6898.

Contact Information

Primary practice address
404 E Market St Kingsport TN 37660-4828
Phone: (423) 392-6898
Fax: (423) 392-6900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X P1405 Tennessee
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X P1405 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X P1405 Tennessee
Behavioral Health & Social Service Providers / Psychologist 103T00000X P1405 Tennessee
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X P1405 Tennessee

Profile Details

NPI number 1851439988
LBN Legal business name Latham, Edward E
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Jan 24th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851439988 NPPES
Tennessee Other 132696 VALUE OPTIONS
Tennessee Other 1437005 VALUE OPTIONS
Tennessee Other 063454 VALUE OPTIONS
Tennessee Other 0099539 VALUE OPTIONS
Tennessee Other 6109533 VALUE OPTIONS
Tennessee Other 9213176 VALUE OPTIONS
Tennessee Other 241583000 VALUE OPTIONS
Tennessee Other 4418397 VALUE OPTIONS
Tennessee Other 4067035 VALUE OPTIONS

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