Mrs Latorie Polk, is a
Psychologist - Forensic based in Covington, Tennessee. Mrs Latorie Polk is licensed to practice in * (Not Available) (license number ) and her current practice location is
1997 Highway 51 S, Covington, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(901) 476-8967.
NPI number for Mrs Latorie Polk is 1295289486 and her current mailing address is 2380 Henry St, Dyersburg, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295289486.
Healthcare Provider's Profile
| Full Name | Mrs Latorie Polk |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Forensic |
|---|
| Location | 1997 Highway 51 S, Covington, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295289486
- Provider Enumeration Date: 08/05/2016
- Last Update Date: 08/05/2016
Medical Identifiers
Medical identifiers for Mrs Latorie Polk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295289486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TF0200X | Psychologist - Forensic | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
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. Mrs Latorie Polk 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 |
|---|
Mrs Latorie Polk,
2380 Henry St,
Dyersburg, TN 38024-1847
Ph: (731) 287-1794 | Mrs Latorie Polk,
1997 Highway 51 S,
Covington, TN 38019-3630
Ph: (901) 476-8967 |
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