Active NPIIndividual providerSole proprietor

Dr. Bryan P Iandoli, PSYD

Psychologist, Clinical in Fitchburg, Massachusetts

NPI Number1922173830
Practice location
881 South St, Suite #5, Fitchburg, MA 01420-6252
Fax
978-343-4729
Last updated
May 12, 2015

Bryan P Iandoli is a Psychologist, Clinical based in Fitchburg, MA. Bryan P Iandoli practices in Fitchburg, MA and has the professional credentials of PSYD. The NPI Number for Bryan P Iandoli is 1922173830 and holds a License No. 6208 (MA). The current practice location address for Bryan P Iandoli is 881 South St, Suite #5, Fitchburg, MA 01420-6252 and can be reached out via phone at 978-343-4747 and via fax at 978-343-4729.

Provider Profile Details

NPI Number
1922173830
Provider Name
Bryan P Iandoli
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
881 South St, Suite #5, Fitchburg, MA 01420-6252
Phone Number
978-343-4747
Fax Number
978-343-4729
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 24, 2006
Last Update Date
May 12, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
881 South St
Suite #5
Fitchburg, MA 01420-6252
Zip
01420-6252
Phone Number
978-343-4747
Fax Number
978-343-4729
Fitchburg, MA 01420Get directions →

Provider Business Mailing Address Details

Address
33 Electric Ave
Suite 205
Fitchburg, MA 01420-7954
City
Fitchburg
State
MA
Zip
01420-7954
Phone Number
978-343-4747
Fax Number
978-343-4729

License Information

License Number
6208
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Bryan P Iandoli, PSYD?

The NPI number of Dr. Bryan P Iandoli, PSYD is 1922173830. It was assigned on November 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Bryan P Iandoli, PSYD?

Dr. Bryan P Iandoli, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 6208.

Where does Dr. Bryan P Iandoli, PSYD practice?

The practice location is 881 South St, Suite #5, Fitchburg, MA 01420-6252. The office can be reached at 978-343-4747 (phone) or 978-343-4729 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922173830 directly on the NPPES registry website.

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