Individual provider · Type 1 NPI

Kaitlyn R. Costello

Peer Specialist · Melville, NY

NPI number 1730901802 Active

Practice location

4 Dalewood Pl
Melville, NY 11747-1510

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1730901802

Kaitlyn R. Costello's National Provider Identifier is 1730901802, issued on Oct 29, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Melville, NY. The record was last updated on Dec 3, 2024.