Doctor Name: | MEROPE PATTERSON |
NPI Number: | 1013355965 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | I 0010294 |
Business Practice Address: | 2555 S Dixie Dr Suite 100 Kettering, OH - 454091539 |
Business Phone Number: | 9372999060 |
Business Fax Number: | 9372993040 |
Mailing Address: | 1499 Elaine St, DAYTON |
State: | OH |
Postal Code: | 454179318 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/12/2013 |
NPI Last Update Date: | 06/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I 0010294 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |