Walter C. Buboltz Jr., PH.D.
NPI 1235570573ActiveIndividual· Psychologist, Counseling· Ruston, LA
Psychologist, Counseling (PH.D.) in Ruston, Louisiana, licensed in LA, with an NPI issued in July 2013. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1235570573 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jul 15, 2013 |
| Last updated in NPPES | Jul 17, 2026 |
| Certified by provider | Jul 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 870 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (LA) |
|---|
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