| Dr Juanita Marie Waites, PSYD | |
|
905 Main St Ste 602, Klamath Falls, OR 97601-5842 | |
| (541) 331-3152 | |
| (833) 263-0939 |
| Full Name | Dr Juanita Marie Waites |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 905 Main St Ste 602, Klamath Falls, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861705485 | NPI | - | NPPES |
| 500693464 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1878 (Oregon) | Primary |
| Entity Name | Juanita Waites Psychological Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851862718 PECOS PAC ID: 9638565245 Enrollment ID: O20220513000664 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Juanita Marie Waites, PSYD 905 Main St Ste 602, Klamath Falls, OR 97601-5842 Ph: (541) 331-3152 | Dr Juanita Marie Waites, PSYD 905 Main St Ste 602, Klamath Falls, OR 97601-5842 Ph: (541) 331-3152 |
Daniel Miller, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 121 Iowa St, Klamath Falls, OR 97601 Phone: 541-281-1565 | |
Dr. Trevor J Petersen, PHD, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 905 Main St Ste 200a, Klamath Falls, OR 97601 Phone: 541-205-9218 | |
Miss Jane Mary Owobu, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 714 Main St Ste 200, Klamath Falls, OR 97601 Phone: 541-880-4921 | |
Yvette Dawson Rybolt, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 501 Main St, Ste 201, Klamath Falls, OR 97601 Phone: 541-281-0727 Fax: 541-882-7111 | |
Mrs. Krupali Soni Michaels, Psychologist Medicare: Medicare Enrolled Practice Location: 2210 N Eldorado Ave, Klamath Falls, OR 97601 Phone: 541-883-1030 Fax: 541-884-2338 | |
Dr. Amy Louise Ross, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 905 Main Street, Suite 209, Klamath Falls, OR 97601 Phone: 541-891-0897 | |
Dr. Olawale Akinleye Folarin, PHD, MSC., QMHP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 714 Main St Ste 200, Klamath Falls, OR 97601 Phone: 667-434-8742 |