Provider Demographics
NPI:1831908722
Name:YOCUM, TARAH (IBCLC)
Entity type:Individual
Prefix:
First Name:TARAH
Middle Name:
Last Name:YOCUM
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 1:616 STEWART RD
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-1750
Mailing Address - Country:US
Mailing Address - Phone:570-452-5191
Mailing Address - Fax:
Practice Address - Street 1:616 STEWART RD
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-1750
Practice Address - Country:US
Practice Address - Phone:570-452-5191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAL-316436174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN