Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Dina Naomi Pettiford, MS, CCC-A

Individual provider Audiologist · NPI 1366594830

Mrs. Dina Naomi Pettiford, MS, CCC-A is an Audiologist in Camillus, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-A — Certificate of Clinical Competence in Audiology
An audiologist certified by ASHA.

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Practice location Address checks out

5700 W Genesee St Ste 229
Camillus, NY 13031-3200
Phone: (315) 234-3842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 624694 (NY)

Record details

NPI number1366594830
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-A
Sole proprietorNo
NPI enumeratedJanuary 17, 2007
Last updated in NPPESJuly 8, 2007

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