Provider Demographics
NPI:1720753023
Name:PATTERSON, HEATHER (QMHS)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:QMHS
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:WELLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6753 STATE RD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-4517
Mailing Address - Country:US
Mailing Address - Phone:440-843-5544
Mailing Address - Fax:
Practice Address - Street 1:215 S WALNUT ST
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-4753
Practice Address - Country:US
Practice Address - Phone:330-262-7836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator