NPI 1336015445
Alyssa Nicole de Vito-Izzo, PHD
Practice location
- Address
- 345 Blackstone Blvd, Providence, RI 02906-4800
- Phone
- (401) 455-6200
- Fax
- (401) 455-6689
- Mailing address
- 455 Toll Gate Road Prc and Credentialing, Warwick, RI 02886-2759
Registered specialties
Clinical Neuropsychologist
Primary
Registry record
- NPI
- 1336015445
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Oct 2025
- Record last updated
- 23 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.