Individual
MEGAN FETTROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LBS
Contact information
Practice address
1 RATHTON RD, YORK, PA 17403-3717
(717) 885-5906
Mailing address
31 MCCLELLAN DR, EAST BERLIN, PA 17316-9311
(717) 870-2445
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002874
PA
174N00000X
Lactation Consultant (Non-RN)
280708
PA
Other
Enumeration date
10/01/2015
Last updated
10/23/2018
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