Bryan P Iandoli is a Clinical in Fitchburg, Massachusetts. Bryan P Iandoli practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bryan P Iandoli is 1922173830. The last update date is 2015-05-12.
Bryan P Iandoli's current location address is 33 Electric Ave, Fitchburg, Massachusetts. You can contact this provider via phone number 9783434747 and fax number 9783434729. The mailing address for Bryan P Iandoli is 33 Electric Ave, Fitchburg, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan P Iandoli |
|---|---|
| Address | 33 Electric Ave, Fitchburg, Massachusetts |
| Phone Number | 9783434747 |
| Fax Number | 9783434729 |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1922173830 |
|---|---|
| Provider Enumeration Date | 2006-11-24 |
| Last Updated Date | 2015-05-12 |
Provider Mailing Address Detail
| Address | 33 Electric Ave |
|---|---|
| City | Fitchburg |
| State | Massachusetts (MA) |
| Post Code | 14207954 |
| Phone Number | 9783434747 |
| Fax Number | 9783434729 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6208 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 521744 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bryan P Iandoli by the Centers for Medicare & Medicaid Services?
The Bryan P Iandoli has been assigned the NPI (National Provider Identifier) 1922173830 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Bryan P Iandoli is physically located?
The Bryan P Iandoli is physically situated at the following address: 33 Electric Ave, Fitchburg, MA, 14207954.
What is Bryan P Iandoli's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bryan P Iandoli is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When did Bryan P Iandoli receive its 1922173830 assignment?
The Bryan P Iandoli was assigned its 1922173830 on 2006-11-24, which is the date when this unique identifier was issued to the organization.
When was the information related to Bryan P Iandoli most recently updated or refreshed?
The details pertaining to the Bryan P Iandoli, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-05-12.