Deborah E Iazzo, PHD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

048-0000806 Issued in VT

Practice address

130 Fisher Rd
Ste 1-6
Berlin, VT 05602-9516

Phone

(802) 223-9150

Fax

(802) 223-9151

NPI assigned

Aug 24, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Deborah E Iazzo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114034295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FISHER RD",
            "address_2": "STE 1-6",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029516",
            "telephone_number": "802-223-9150",
            "fax_number": "802-223-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FISHER RD",
            "address_2": "STE 1-6",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029516",
            "telephone_number": "802-223-9150",
            "fax_number": "802-223-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IAZZO",
        "first_name": "DEBORAH",
        "middle_name": "E",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "VT",
            "license": "048-0000806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "IAZZO",
            "middle_name": "E",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rebecca Jo Hogan, O.D.
• Ciara Hollister, DPM
• Colleen Mary Horan, MD
• John Joseph Horan, M.D.
• Aisha Hussain, PA
• Maria Teresa Ibanez, D.P.M.
• David Indenbaum, MD
• Jay Ingram, M.D.
• Addie Irvin
• Annick Jean, MA

• Cognitive & Behavioral Psychologist in Berlin, VT
• Providers in Berlin, VT by specialty
• Cognitive & Behavioral Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.