Latonya Goliday

Individual provider Active NPI Psychologist · Horn Lake, MS

NPI 1841069457 · NPPES record last updated Dec 22, 2023

Key facts

NPI
1841069457
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
Practice address
7095 Tulane Rd N Apt 809
Horn Lake, MS 38637-1589
Phone
(901) 949-9888
NPI assigned
Dec 22, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Yes

Addresses

Primary practice location

7095 Tulane Rd N Apt 809
Horn Lake, MS 38637-1589

Mailing address

7095 Tulane Rd N Apt 809
Horn Lake, MS 38637-1589
Phone (901) 949-9888

Other providers in Horn Lake, MS

All providers in Horn Lake, MS · Psychologist in Mississippi

Sources for this page

Verify at the official NPI Registry.