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Contact Information

JOHN B GASSAWAY, PSY.D.
7219 N LITCHFIELD RD
56 MDG
LUKE AFB, AZ85309-1529
 Phone: 602-989-0982
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOHN B GASSAWAY · (Male)

NPI # 1699033506
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 04/27/2012
Last updated 10/29/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 4259
  • AZ License # PSY-004259
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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