Provider Demographics
NPI:1821868258
Name:DOOLEY, GRETCHEN PATSY
Entity Type:Individual
Prefix:MS
First Name:GRETCHEN
Middle Name:PATSY
Last Name:DOOLEY
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 1:4336 BEECH ST
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45212-4233
Mailing Address - Country:US
Mailing Address - Phone:513-306-8974
Mailing Address - Fax:
Practice Address - Street 1:909 PRINCETON DR
Practice Address - Street 2:
Practice Address - City:TERRACE PARK
Practice Address - State:OH
Practice Address - Zip Code:45174-1238
Practice Address - Country:US
Practice Address - Phone:513-289-9052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion