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

Organization subpart

No

Name

Alexandra Dezenzo, MSNPI 1841788288

Title

Speech-Language Pathologist, Owner

Phone

(973) 224-9357

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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, last updated by the provider on Mar 1, 2021.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032933",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naveen Alam
• Daniel Salameh Albatarseh, DO
• Matthew Albaugh, PHD
• Ryan Kathleen Campbell Albertson, N.P.
• Sarah Alexander
• Alexis Pless Counseling LLC
• Margaret Algranati
• Khalil Rayhan Ali, MD
• Damir Alisa
• All Seasons Physical Therapy Consultants Inc

• All providers in Burlington, VT
• 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.