| Doctor Name: | MR. SAMUEL CHRISTOPHER LATTERNER |
| NPI Number: | 1992013221 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.C.S.W. |
| License Number: | PR025690-1 |
| Business Practice Address: | 230 June Rd North Salem, NY - 105601211 |
| Business Phone Number: | 9146695317 |
| Business Fax Number: | |
| Mailing Address: | 55 Rockledge Dr, BREWSTER |
| State: | NY |
| Postal Code: | 105095537 |
| Phone Number: | 8458578158 |
| Fax Number: | 8452797605 |
| NPI Enumeration Date: | 09/21/2010 |
| NPI Last Update Date: | 09/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | PR025690-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |