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Kaitlin M Petrillo, CLC
Lactation Consultant (Non-RN) in Ronkonkoma, New York
NPI 1558090860

Kaitlin M Petrillo is a Lactation Consultant (Non-RN) based in Ronkonkoma, NY. Kaitlin M Petrillo practices in Ronkonkoma, NY and has the professional credentials of CLC. The NPI Number for Kaitlin M Petrillo is 1558090860 and holds a License No. 341362 (New York).

The current practice location address for Kaitlin M Petrillo is 18 Borman Ct, Ronkonkoma, NY and can be reached out via phone at 631-219-4992.

Location: 18 Borman Ct, Ronkonkoma, NY, 11779-1981
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558090860
Provider Name
Kaitlin M Petrillo
Credential
CLC
Provider Entity Type
Individual
Gender
Female
Address
18 Borman Ct, Ronkonkoma, NY, 11779-1981
Phone Number
631-219-4992
Fax Number
Provider Enumeration Date
06/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18 Borman Ct
City
Ronkonkoma
State
New York
Zip
11779-1981
Phone Number
631-219-4992
Fax Number
person
Provider Business Mailing Address Details
Address
18 Borman Ct
City
Ronkonkoma
State
New York
Zip
11779-1981
Phone Number
631-219-4992
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
341362 (New York)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Lactation Consultant, Non-RN
Speciality
-
Taxonomy
174N00000X
License No.
341362 (Massachusetts)
Definition
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
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