Individual
DR. EDWARD E LATHAM JR.
Active
Individual
DR. EDWARD E LATHAM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
P1405
TN
103TA0400X
Addiction (Substance Use Disorder) Psychologist
P1405
TN
103TA0700X
Adult Development & Aging Psychologist
P1405
TN
103TC0700X
Clinical Psychologist
Primary
P1405
TN
103TP2701X
Group Psychotherapy Psychologist
P1405
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099539
BCBSTN
TN
01
—
063454
BCBS VA
TN
01
—
132696
VALUE OPTIONS
TN
01
—
1437005
UMWA
TN
01
—
241583000
MAGELLAN
TN
01
—
4067035
BCBSTN-MEDICAL
TN
01
—
4418397
AETNA
TN
01
—
6109533
UNITED HEALTHCARE
TN
01
—
9213176
PHCS
TN
Enumeration date
02/01/2007
Last updated
01/24/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up