Individual
DR. JOHN DAVID GAVAZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
890 POPLAR CHURCH RD, ROOM 401, CAMP HILL, PA 17011-2250
(717) 979-4550
Mailing address
1230 WINDSOR RD, MECHANICSBURG, PA 17050-6604
(717) 979-4550
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005719L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01994201
CAPITAL BLUE CROSS
PA
01
—
641488
HIGHMARK
PA
Enumeration date
04/19/2006
Last updated
07/08/2007
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