| Charles P Waitz Phd | |
|
639 Stokes Rd Suite 203 Medford NJ 08055-3003 | |
| (609) 953-1222 | |
| (609) 714-0095 |
| Full Name | Charles P Waitz Phd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 639 Stokes Rd, Medford, New Jersey |
| Authorized Official Name and Position | Charles P Waitz (CLINICAL PSYCHOLOGIST OWNER) |
| Authorized Official Contact | 6099531222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles P Waitz Phd 639 Stokes Rd Suite 203 Medford NJ 08055-3003 Ph: (609) 953-1222 | Charles P Waitz Phd 639 Stokes Rd Suite 203 Medford NJ 08055-3003 Ph: (609) 953-1222 |
| NPI Number | 1497950422 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497950422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35SI00109300 (New Jersey) | Primary |
| 103TC0700X | Psychologist - Clinical | PS002060L (Pennsylvania) | Secondary |
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