MEDICARE: DR. JOHN P GAROFALO PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY60667177	WA

General Provider Information

NPI Number	:	1073750717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN P GAROFALO PHD

Provider Business Mailing Address
First Line	:	1122 143RD ST NW
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98332-9705
Country	:	US
Telephone Number	:	503-502-9683
Fax Number	:

Provider Business Practice Location Address
First Line	:	5201 OLYMPIC DR STE 210
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-1778
Country	:	US
Telephone Number	:	253-372-8635
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2009
Last Update Date	:	01/11/2026

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Directions to “ DR. JOHN P GAROFALO PHD” Practice Location

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