Active NPIIndividual provider

Latoya Pegram, LPAT, LPC, ART-BC

Counselor, Professional in Medford, New Jersey

NPI Number1861103277
Practice location
103 Old Marlton Pike Ste 101, Medford, NJ 08055-8772
Fax
—
Last updated
December 6, 2022

Latoya Pegram is a Counselor, Professional based in Medford, NJ. Latoya Pegram practices in Medford, NJ and has the professional credentials of LPAT, LPC, ART-BC. The NPI Number for Latoya Pegram is 1861103277 and holds a License No. 37PC00904400 (NJ). The current practice location address for Latoya Pegram is 103 Old Marlton Pike Ste 101, Medford, NJ 08055-8772 and can be reached out via phone at 856-223-2222.

Provider Profile Details

NPI Number
1861103277
Provider Name
Latoya Pegram
Credential
LPAT, LPC, ART-BC
Provider Entity Type
Individual
Gender
Female
Address
103 Old Marlton Pike Ste 101, Medford, NJ 08055-8772
Phone Number
856-223-2222
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Other Names
Latoya Kinard, ATR-BC (Former Name)
Provider Enumeration Date
December 6, 2022
Last Update Date
December 6, 2022
Certification Date
December 6, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Old Marlton Pike Ste 101
Medford, NJ 08055-8772
Zip
08055-8772
Phone Number
856-223-2222
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
Po Box 100
Palmyra, NJ 08065-0100
City
Palmyra
State
NJ
Zip
08065-0100
Phone Number
856-209-3507

License Information

License Number
37PC00904400
License State
NJ
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Latoya Pegram, LPAT, LPC, ART-BC?

The NPI number of Latoya Pegram, LPAT, LPC, ART-BC is 1861103277. It was assigned on December 6, 2022 and is currently active in the NPPES registry.

What is the specialty of Latoya Pegram, LPAT, LPC, ART-BC?

Latoya Pegram, LPAT, LPC, ART-BC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00904400.

Where does Latoya Pegram, LPAT, LPC, ART-BC practice?

The practice location is 103 Old Marlton Pike Ste 101, Medford, NJ 08055-8772. The office can be reached at 856-223-2222 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861103277 directly on the NPPES registry website.

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