Provider Demographics
NPI:1437182656
Name:PARTRIDGE, MARY FRANCES (PHD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:FRANCES
Last Name:PARTRIDGE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8519 TUTTLE RD
Mailing Address - Street 2:BLDG B
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-1508
Mailing Address - Country:US
Mailing Address - Phone:703-644-9072
Mailing Address - Fax:703-644-9074
Practice Address - Street 1:8519 TUTTLE RD
Practice Address - Street 2:BLDG B
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-1508
Practice Address - Country:US
Practice Address - Phone:703-644-9072
Practice Address - Fax:703-644-9074
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0810003727103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical