Individual
ROBERT IZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2595 INTERSTATE DR, SUITE 103, HARRISBURG, PA 17110-9378
(800) 370-3651
Mailing address
55 HATCHETTS HILL RD, OLD LYME, CT 06371-1534
(800) 370-3651
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100440300
NJ
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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