Provider Demographics
NPI:1053181917
Name:PATTERSON, ISAIAH HEZEKIAH
Entity type:Individual
Prefix:
First Name:ISAIAH
Middle Name:HEZEKIAH
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 HARVARD LOOP
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-8448
Mailing Address - Country:US
Mailing Address - Phone:740-833-4071
Mailing Address - Fax:
Practice Address - Street 1:227 HARVARD LOOP
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-8448
Practice Address - Country:US
Practice Address - Phone:740-833-4071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor