Dr. Charles P Waitz, PHD
Psychologist, Clinical in Medford, New Jersey
1164514923- Practice location
- 639 Stokes RD, Suite 203, Medford, NJ 08055-3003
- Phone
- 609-953-1222
- Fax
- 609-714-0095
- Last updated
- July 8, 2007
Charles P Waitz is a Psychologist, Clinical based in Medford, NJ. Charles P Waitz practices in Medford, NJ and has the professional credentials of PHD. The NPI Number for Charles P Waitz is 1164514923 and holds a License No. 35SI00109300 (NJ). The current practice location address for Charles P Waitz is 639 Stokes RD, Suite 203, Medford, NJ 08055-3003 and can be reached out via phone at 609-953-1222 and via fax at 609-714-0095.
Provider Profile Details
- NPI Number
- 1164514923
- Provider Name
- Charles P Waitz
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 639 Stokes RD, Suite 203, Medford, NJ 08055-3003
- Phone Number
- 609-953-1222
- Fax Number
- 609-714-0095
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 29, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 639 Stokes RD
Suite 203
Medford, NJ 08055-3003 - City
- Medford
- State
- New Jersey
- Zip
- 08055-3003
- Phone Number
- 609-953-1222
- Fax Number
- 609-714-0095
Provider Business Mailing Address Details
- Address
- 639 Stokes RD
Suite 203
Medford, NJ 08055-3003 - City
- Medford
- State
- NJ
- Zip
- 08055-3003
- Phone Number
- 609-953-1222
- Fax Number
- 609-714-0095
License Information
- License Number (1)
- 35SI00109300
- License State (1)
- NJ
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X · Primary
- License Number (2)
- PS002060L
- License State (2)
- PA
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Charles P Waitz, PHD?
The NPI number of Dr. Charles P Waitz, PHD is 1164514923. It was assigned on September 29, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Charles P Waitz, PHD?
Dr. Charles P Waitz, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35SI00109300.
Where does Dr. Charles P Waitz, PHD practice?
The practice location is 639 Stokes RD, Suite 203, Medford, NJ 08055-3003. The office can be reached at 609-953-1222 (phone) or 609-714-0095 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164514923 directly on the NPPES registry website.