Organization
WAITS PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B WAITS PHD (PROVIDER/PSYCHOLOGIST)
(850) 830-2264
Entity
Organization
Contact information
Practice address
3816 WOODBURN ST, RUSTON, LA 71270-8520
(850) 830-2264
Mailing address
3816 WOODBURN ST, RUSTON, LA 71270-8520
(850) 830-2264
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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