Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Corey Gazoo, PSYD

Individual provider Clinical Psychologist · NPI 1619642402

Dr. Corey Gazoo, PSYD is a Clinical Psychologist in Scranton, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Northeastern Rehabilitation Associates, PC, a 47-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2021
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

475 Morgan Hwy
Scranton, PA 18508-2605
Phone: (570) 348-1118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 516 N Blakely St, Dunmore, PA 18512-1935 — (570) 983-4047

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS019755 (PA)

Record details

NPI number1619642402
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedAugust 12, 2021
Last updated in NPPESJanuary 20, 2023
Certification dateJanuary 20, 2023
Mailing address501 Ward St, Dunmore, PA 18512-2427

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Northeastern Rehabilitation Associates, Pc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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