DEBORAH E IAZZO PHD NPI 1114034295

NPI Information

  • NPI: 1114034295
  • Provider Name: DEBORAH E IAZZO, PHD
  • Classification: Psychologist - 103TB0200X
  • Specialization: Cognitive & Behavioral
  • Entity Type: Individual
  • Address: 130 FISHER RD
    STE 1-6
    BERLIN, VT
    ZIP 05602
  • Phone: (802) 223-9150

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NPI Details

Deborah E Iazzo, PHD is a cognitive and behavioral psychologist in Berlin, VT. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. Deborah E Iazzo, PHD NPI is 1114034295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

130 FISHER RD
STE 1-6
BERLIN, VT
ZIP 05602-516
Phone: (802) 223-9150
Fax: (802) 223-9151

The enumeration date for this NPI number is 8/24/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & Behavioral048-0000806VERMONTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1IAVN2834MEDICARE ID-TYPE UNSPECIFIEDVERMONTM/CARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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