Provider Demographics
NPI:1073385761
Name:PATTERSON, BARBARA RENEE
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:RENEE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 WOOLPER AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-1215
Mailing Address - Country:US
Mailing Address - Phone:513-221-4993
Mailing Address - Fax:
Practice Address - Street 1:129 WOOLPER AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-1215
Practice Address - Country:US
Practice Address - Phone:513-221-4993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator