Individual
DR. STANLEY K. GASSAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
909 NW 21ST ST, OKLAHOMA CITY, OK 73106-6208
(405) 601-7018
(405) 601-7018
Mailing address
909 NW 21ST ST, OKLAHOMA CITY, OK 73106-6208
(405) 601-7018
(405) 601-7018
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1026
OK
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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