Provider Demographics
NPI:1861638124
Name:PATTERSON, MELISSA JOY (ND)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:JOY
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:354 1/2 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-8100
Mailing Address - Country:US
Mailing Address - Phone:707-829-8137
Mailing Address - Fax:
Practice Address - Street 1:354 1/2 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472-8100
Practice Address - Country:US
Practice Address - Phone:707-829-8137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-302175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath