Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RONALD JOHN GAVLICK, MA
Active Sole ProprietorMR. RONALD JOHN GAVLICK, MA is a Child, Clinical Psychologist healthcare provider located in HAZLETON, Pennsylvania. NPI 1780107177 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · HAZLETON, PA
Registration Details
- NPI Number
- 1780107177
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2017 (9.1172259171861 yrs)
- Last Updated
- Jul 21, 2022
- License
-
PS-007995-L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
750 E BROAD STHAZLETON, PA, 182016835Browse PA providers · Browse ZIP 18201
- Phone
- 5704556385
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.