LATINA THOMPSON
NPI 1386319853
Psychologist - Intellectual and Developmental Disabilities in Sandersville, GA

Active since August 16, 2021
419 MOYE DR, SANDERSVILLE, GA 31082(478) 232-3186 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Latina Thompson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATINA THOMPSON (NPI 1386319853) is an individual intellectual and developmental disabilities provider in Sandersville, Georgia and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1386319853
Entity TypeIndividualFemale
Primary Taxonomy103TM1800X
Provider Legal NameLATINA THOMPSON
Location Address419 MOYE DRSandersville, GA 31082-7624
Mailing Address125 Wedgewood CtSandersville, GA 31082-8446 · (478) 232-3186
Sole ProprietorNo
Enumeration DateAugust 16, 2021
NPPES CertifiedAugust 16, 2021
NPI 1386319853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers
Taxonomy Code103TM1800X
419 MOYE DR, Sandersville, GA 31082

Other Identifiers 1

Medicaid87-2120294GA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
419 MOYE DR
SANDERSVILLE, GA 31082

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386319853, enumerated as an "individual" on August 16, 2021.

The provider is located at 419 MOYE DR SANDERSVILLE, GA 31082 and the phone number is (478) 232-3186.

Psychologist with taxonomy code 103TM1800X and a focus in Intellectual and Developmental Disabilities.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.