Provider Demographics
NPI:1578834487
Name:HUME, CHRISTY D (IBCLC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:D
Last Name:HUME
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 1:4005 DONEGAL DR
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-7637
Mailing Address - Country:US
Mailing Address - Phone:484-894-1622
Mailing Address - Fax:
Practice Address - Street 1:4005 DONEGAL DR
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-7637
Practice Address - Country:US
Practice Address - Phone:484-894-1622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN