Deborah E Iazzo
Cognitive & Behavioral Psychologist
130 Fisher Rd Ste 1-6
Berlin
, Vermont 05602-9516
Deborah E Iazzo
Cognitive & Behavioral Psychologist
130 Fisher Rd Ste 1-6
Berlin
, Vermont 05602-9516
(802) 223-9151
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
Languages spoken
- English
Location
First Address
- Deborah E Iazzo
- 130 Fisher Rd Ste 1-6
- Berlin, VT
- Zip : 05602-9516
- Fax : (802) 223-9151
- Phone : (802) 223-9150
Second Address
- Deborah E Iazzo
- 130 Fisher Rd Ste 1-6
- Berlin, VT
- Zip : 05602-9516
- Fax : (802) 223-9151
- Phone : (802) 223-9150
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TB0200X | Cognitive & Behavioral Psychologist | 048-0000806 | VT |
National Provider Identifier
| NPI | 1114034295 |
|---|---|
| Provider Name | Deborah E Iazzo |
| First Address | Berlin, VT 05602-9516 |
| Second Address | Berlin, VT 05602-9516 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.