Provider Demographics
NPI:1912887662
Name:REDDING-PATTERSON, ASSIAH K
Entity type:Individual
Prefix:MS
First Name:ASSIAH
Middle Name:K
Last Name:REDDING-PATTERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23560 OLIVER CT
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-3121
Mailing Address - Country:US
Mailing Address - Phone:248-640-7274
Mailing Address - Fax:
Practice Address - Street 1:23560 OLIVER CT
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-3121
Practice Address - Country:US
Practice Address - Phone:248-640-7274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI33-5018607374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula