Provider Demographics
NPI:1366863086
Name:FREEMAN, BRYNA ASHLEY (LMT, CMT)
Entity Type:Individual
Prefix:MS
First Name:BRYNA
Middle Name:ASHLEY
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:LMT, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 E LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-1126
Mailing Address - Country:US
Mailing Address - Phone:717-271-8545
Mailing Address - Fax:
Practice Address - Street 1:209 E LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-1126
Practice Address - Country:US
Practice Address - Phone:717-271-8545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-23
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG002302172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker