Dr Leslie Van Buren Waite Jr, PSYD is a
Psychologist based in Castleton On Hudson, New York. Dr Leslie Van Buren Waite Jr is licensed to practice in Colorado (license number PSY.0005093) and his current practice location is
6 Chestnut St, Castleton On Hudson, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 414-5563.
NPI number for Dr Leslie Van Buren Waite Jr is 1558910208 and his current mailing address is 6 Chestnut St, Castleton On Hudson, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558910208.
Healthcare Provider's Profile
| Full Name | Dr Leslie Van Buren Waite Jr |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | 6 Chestnut St, Castleton On Hudson, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558910208
- Provider Enumeration Date: 09/05/2019
- Last Update Date: 12/20/2023
Medical Identifiers
Medical identifiers for Dr Leslie Van Buren Waite Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558910208 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PSY.0005093 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Leslie Van Buren Waite Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Leslie Van Buren Waite Jr, PSYD
6 Chestnut St,
Castleton On Hudson, NY 12033-1506
Ph: (518) 414-5563 | Dr Leslie Van Buren Waite Jr, PSYD
6 Chestnut St,
Castleton On Hudson, NY 12033-1506
Ph: (518) 414-5563 |
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