Dakota Aston Coltharp, is a
Psychologist - Intellectual & Developmental Disabilities based in La Follette, Tennessee. Dakota Aston Coltharp is licensed to practice in * (Not Available) (license number ) and his current practice location is
198 E Bowman Cir, La Follette, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 437-1340.
NPI number for Dakota Aston Coltharp is 1467135806 and his current mailing address is 198 E Bowman Cir, La Follette, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467135806.
Healthcare Provider's Profile
| Full Name | Dakota Aston Coltharp |
|---|
| Gender | Male |
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| Speciality | Psychologist - Intellectual & Developmental Disabilities |
|---|
| Location | 198 E Bowman Cir, La Follette, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1467135806
- Provider Enumeration Date: 08/11/2023
- Last Update Date: 08/11/2023
Medical Identifiers
Medical identifiers for Dakota Aston Coltharp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467135806 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (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. Dakota Aston Coltharp 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 |
|---|
Dakota Aston Coltharp,
198 E Bowman Cir,
La Follette, TN 37766-8006
Ph: () - | Dakota Aston Coltharp,
198 E Bowman Cir,
La Follette, TN 37766-8006
Ph: (423) 437-1340 |
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