Dr Latoya Bernice Gathers, EDD is a
Psychologist - Cognitive & Behavioral based in Conway, South Carolina. Dr Latoya Bernice Gathers is licensed to practice in * (Not Available) (license number ) and her current practice location is
1632 9th Ave, Conway, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 485-5596.
NPI number for Dr Latoya Bernice Gathers is 1174832174 and her current mailing address is 1908a Hawkins St, Georgetown, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174832174.
Healthcare Provider's Profile
| Full Name | Dr Latoya Bernice Gathers |
|---|
| Gender | Female |
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| Speciality | Psychologist - Cognitive & Behavioral |
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| Location | 1632 9th Ave, Conway, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174832174
- Provider Enumeration Date: 09/25/2010
- Last Update Date: 08/29/2011
Medical Identifiers
Medical identifiers for Dr Latoya Bernice Gathers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174832174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Latoya Bernice Gathers is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Latoya Bernice Gathers, EDD
1908a Hawkins St,
Georgetown, SC 29440-3078
Ph: (843) 485-5596 | Dr Latoya Bernice Gathers, EDD
1632 9th Ave,
Conway, SC 29527-4848
Ph: (843) 485-5596 |
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