Healthcare Provider Details

I. General information

NPI: 1700806940
Provider Name (Legal Business Name): CAROL H PATTERSON MS, RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 11/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 DELAFIELD RD 120 N&F/UD
PITTSBURGH PA
15215-1802
US

IV. Provider business mailing address

251 PINKERTON RD
WEXFORD PA
15090-8655
US

V. Phone/Fax

Practice location:
  • Phone: 412-822-1861
  • Fax: 412-822-1901
Mailing address:
  • Phone: 724-934-1421
  • Fax: 412-822-1901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN000992
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: