| Doctor Name: | MRS. MARCIE LEE FREDENBURG |
| NPI Number: | 1326165580 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, LDN |
| License Number: | 2342 |
| Business Practice Address: | 725 North St Pittsfield, MA - 012014109 |
| Business Phone Number: | 4134472000 |
| Business Fax Number: | 4134472605 |
| Mailing Address: | Po Box 1536, LANESBORO |
| State: | MA |
| Postal Code: | 012371536 |
| Phone Number: | 4134455949 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2007 |
| NPI Last Update Date: | 06/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 2342 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |