Sherry Marie Latham, A.A./PSYC TECH

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

2729 Nickel Avenue
Crescent City, CA 95531-3432

Phone

(707) 218-5564

NPI assigned

Oct 30, 2007

Last updated

Oct 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1043499619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 NICKEL AVE",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955319136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 NICKEL AVENUE",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955313432",
            "telephone_number": "707-218-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHAM",
        "first_name": "SHERRY",
        "middle_name": "MARIE",
        "credential": "A.A./PSYC TECH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle William Kun
• Nicole Laferriere, LCSW
• Megan Jean Lambson
• Lantern of Crescent City LLC (Lantern Health Crescent City)
• Richard Hopkins Lantz, LMFT
• Nanette Latimer, PHARMACIST
• Laurent E Wanner Chiropractic Inc
• Laurent Wanner Chiropractic, Inc (Wanner Sports & Family Chiropractic)
• Laurent Wanner Chiropractic, Inc. (Wanner Sports & Family Chiropractic)
• Yelena Zaitseva Lavender, LCSW74244

• Community/Behavioral Health Agency in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.