NPI 1164514923

Charles P Waitz, PHD

Practitioner Clinical Psychologist Medford, NJ

Practice location

Address: 639 Stokes Rd Suite 203, Medford, NJ 08055-3003
Phone: (609) 953-1222
Fax: (609) 714-0095

Registered specialties (2)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 35SI00109300 (NJ)

Other Psychologist providers in New Jersey →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PS002060L (PA)

Registry record

NPI: 1164514923
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.