Organization
CHARLES P WAITZ PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES P WAITZ PHD (CLINICAL PSYCHOLOGIST OWNER)
(609) 953-1222
Entity
Organization
Contact information
Practice address
639 STOKES RD, SUITE 203, MEDFORD, NJ 08055-3003
(609) 953-1222
(609) 714-0095
Mailing address
639 STOKES RD, SUITE 203, MEDFORD, NJ 08055-3003
(609) 953-1222
(609) 714-0095
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00109300
NJ
103TC0700X
Clinical Psychologist
PS002060L
PA
Other
Enumeration date
06/19/2007
Last updated
08/22/2020
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