Individual
DR. JUANITA MARIE WAITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
905 MAIN ST STE 602, KLAMATH FALLS, OR 97601-5842
(541) 331-3152
(833) 263-0939
Mailing address
10620 ROCK DOVE CT, KLAMATH FALLS, OR 97601-8586
(541) 331-3152
(833) 263-0939
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1878
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500693464
—
OR
Enumeration date
07/24/2010
Last updated
01/23/2026
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