Provider Demographics
NPI:1417353848
Name:REDUS, CATHLEEN (IBCLC)
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:
Last Name:REDUS
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9433 SPRINGWATER DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-4151
Mailing Address - Country:US
Mailing Address - Phone:310-956-0442
Mailing Address - Fax:
Practice Address - Street 1:2453 MCCREADY AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-3307
Practice Address - Country:US
Practice Address - Phone:310-956-0442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-12
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN