National Provider Identifier Database

EDWARD E LATHAM JR, PhD – NPI #1851439988
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

EDWARD E LATHAM JR, PhD
404 E MARKET ST
KINGSPORT, TN37660-4828
Phone: 423-392-6898
Fax: 423-392-6900
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Addiction (Substance Use Disorder) 103TA0400X
Adult Development & Aging 103TA0700X
Group Psychotherapy 103TP2701X
Psychologist 103T00000X

* Indicates primary specialty

NPI Profile & details for EDWARD E LATHAM JR

NPI Number 1851439988
Credentials PhD
Entity Individual
Enumeration date 02/01/2007
Last updated 01/24/2012 - About 14 years ago
Sole proprietor1 Yes
Identifiers
  • TN License #: P1405
  • TN Other: 4418397 AETNA
  • TN Other: 063454 BCBS VA
  • TN Other: 0099539 BCBSTN
  • TN Other: 4067035 BCBSTN-MEDICAL
  • TN Other: 241583000 MAGELLAN
  • TN Other: 9213176 PHCS
  • TN Other: 1437005 UMWA
  • TN Other: 6109533 UNITED HEALTHCARE
  • TN Other: 132696 VALUE OPTIONS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for EDWARD E LATHAM JR, PhD

There are currently no reviews for EDWARD E LATHAM JR, PhD


NPIdb - Home
v2.201