Charles P Waitz PHD
Psychologist, Clinical in Medford, New Jersey
1497950422- Practice location
- 639 Stokes RD, Suite 203, Medford, NJ 08055-3003
- Phone
- 609-953-1222
- Fax
- 609-714-0095
- Last updated
- August 22, 2020
Charles P Waitz PHD is a healthcare organization based in Medford, NJ. Charles P Waitz PHD practices in Medford, NJ. The NPI Number for Charles P Waitz PHD is 1497950422 and holds a License No. PS002060L (PA). The current practice location address for Charles P Waitz PHD 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
- 1497950422
- Provider Name
- Charles P Waitz PHD
- Provider Entity Type
- Organization
- 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
- Organization Subpart
- No
- Authorized Official
- Dr. Charles P Waitz, PHD · Clinical Psychologist Owner · 609-953-1222
- Provider Enumeration Date
- June 19, 2007
- Last Update Date
- August 22, 2020
- 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)
- PS002060L
- License State (1)
- PA
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- License Number (2)
- 35SI00109300
- License State (2)
- NJ
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X · Primary
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 Charles P Waitz PHD?
The NPI number of Charles P Waitz PHD is 1497950422. It was assigned on June 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Charles P Waitz PHD?
Charles P Waitz PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PA under license number PS002060L.
Where does 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 1497950422 directly on the NPPES registry website.