Alexandra Dezenzo SLP PC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ALEXANDRA DEZENZO SLP PC

Practice address

314 Colchester Ave Apt 4
Burlington, VT 05401-1445

Phone

(973) 224-9357

NPI assigned

Mar 1, 2021

Last updated

Mar 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexandra Dezenzo, MSNPI 1841788288

Title

Speech-Language Pathologist, Owner

Phone

(973) 224-9357

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexandra Dezenzo, M.S.

  • Speech-Language Pathologist
  • Burlington, VT
  • NPI 1841788288
  NPD Authorized official

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1609460773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 COLCHESTER AVE APT 4",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011445",
            "telephone_number": "973-224-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 COLCHESTER AVE APT 4",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011445",
            "telephone_number": "973-224-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRA DEZENZO SLP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "DEZENZO",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST, OWNER",
        "authorized_official_telephone_number": "973-224-9357",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Burlington, VT
• Providers in Burlington, VT by specialty
• Speech-Language Pathologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.