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Contact Information

DOMINIQUE N PACITTI, RDN, LDN, IBCLC
1618 KINGS MILL RD
GWYNEDD VALLEY, PA19437
 Phone: 215-360-4801
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Lactation Consultant, Non-RN

174N00000X
Indicates primary specialty

NPI Profile & details for DOMINIQUE N PACITTI · (Female)

NPI # 1376001099
Status Active
Credentials RDN, LDN, IBCLC
Entity Individual
Enumeration date 03/12/2019
Last updated 01/22/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # DN006772
  • PA License # L-302209
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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