Emily Perry, RHS, CLC, DA

Individual provider Active NPI Lactation Consultant (Non-RN) · Stevenson, MD

NPI 1952965014 · NPPES record last updated Apr 24, 2019

Key facts

NPI
1952965014
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Non-RN) 174N00000X
License
315258 (PA)
Practice address
10407 Stevenson Rd
Stevenson, MD 21153-0600
Phone
(410) 764-8526
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
315258PAMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua P Weintraub DDS,P.a. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)
Group: 193400000X SINGLE SPECIALTY GROUP
174N00000X 315258 PA Yes

Addresses

Primary practice location

10407 Stevenson Rd
Stevenson, MD 21153-0600

Mailing address

2 Frock Dr
Hanover, PA 17331-9150
Phone (717) 965-3559

Other providers in Stevenson, MD

All providers in Stevenson, MD · Lactation Consultant (Non-RN) in Maryland

Sources for this page

Verify at the official NPI Registry.