Provider Demographics
NPI:1649485749
Name:FREES, ROBIN B (BA, CHT, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:B
Last Name:FREES
Suffix:
Gender:F
Credentials:BA, CHT, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SALISBURY LN
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-2836
Mailing Address - Country:US
Mailing Address - Phone:610-644-1379
Mailing Address - Fax:610-644-1379
Practice Address - Street 1:116 E KING ST
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-2516
Practice Address - Country:US
Practice Address - Phone:610-644-1379
Practice Address - Fax:610-644-1379
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN