| NPI | 1497950422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES P WAITZ Clinical Psychologist Owner 609-953-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00109300) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS002060L) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |