Provider Demographics
NPI:1740931096
Name:PATTERSON, CHRISTIAN (MT-BC)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 KING ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-1774
Mailing Address - Country:US
Mailing Address - Phone:410-807-2081
Mailing Address - Fax:
Practice Address - Street 1:219 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-3005
Practice Address - Country:US
Practice Address - Phone:410-807-2081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist