Provider Demographics
NPI:1417984469
Name:STRAZZO, JOSEPH E (LPC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:E
Last Name:STRAZZO
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 WILCOX RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:STONINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06378-2613
Mailing Address - Country:US
Mailing Address - Phone:860-536-5190
Mailing Address - Fax:860-536-5190
Practice Address - Street 1:107 WILCOX RD
Practice Address - Street 2:SUITE 108
Practice Address - City:STONINGTON
Practice Address - State:CT
Practice Address - Zip Code:06378-2613
Practice Address - Country:US
Practice Address - Phone:860-536-5190
Practice Address - Fax:860-536-5190
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001443101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001443OtherLPC