Provider Demographics
NPI:1700806940
Name:PATTERSON, CAROL H (MS, RD, LDN)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:H
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 PINKERTON RD
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8655
Mailing Address - Country:US
Mailing Address - Phone:724-934-1421
Mailing Address - Fax:412-822-1901
Practice Address - Street 1:1010 DELAFIELD RD
Practice Address - Street 2:120 N&F/UD
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-1802
Practice Address - Country:US
Practice Address - Phone:412-822-1861
Practice Address - Fax:412-822-1901
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN000992133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered