Edward E Latham JR. is a Group Psychotherapy Psychologist based in Kingsport, TN and is specialized in Group Psychotherapy. Edward E Latham JR. practices in Kingsport, TN and has the professional credentials of PHD. The NPI Number for Edward E Latham JR. is 1851439988 and holds a License No. P1405 (Tennessee).
The current practice location address for Edward E Latham JR. is 404 E Market St, Kingsport, TN and can be reached out via phone at 423-392-6898 and via fax at 423-392-6900.
Location: 404 E Market St, Kingsport, TN, 37660-4828
Provider Profile Details
NPI Number
1851439988
Provider Name
Edward E Latham JR.
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
404 E Market St, Kingsport, TN, 37660-4828
Phone Number
423-392-6898
Fax Number
423-392-6900
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132696 | 01 | TN | VALUE OPTIONS |
| 1437005 | 01 | TN | UMWA |
| 063454 | 01 | TN | BCBS VA |
| 0099539 | 01 | TN | BCBSTN |
| 6109533 | 01 | TN | UNITED HEALTHCARE |
| 9213176 | 01 | TN | PHCS |
| 241583000 | 01 | TN | MAGELLAN |
| 4418397 | 01 | TN | AETNA |
| 4067035 | 01 | TN | BCBSTN-MEDICAL |
Provider Business Practice Location Address Details
Address
404 E Market St
City
State
Zip
37660-4828
Phone Number
423-392-6898
Fax Number
423-392-6900
Provider Business Mailing Address Details
Address
404 E Market St
City
State
Zip
37660-4828
Phone Number
423-392-6898
Fax Number
423-392-6900
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
P1405 (Tennessee)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
P1405 (Tennessee)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Adult Development & Aging
Taxonomy
License No.
P1405 (Tennessee)
Definition
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
License No.
P1405 (Tennessee)
Definition
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.
Provider's Taxonomy Details 5
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Group Psychotherapy
Taxonomy
License No.
P1405 (Tennessee)
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/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
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