Provider Demographics
NPI:1538498662
Name:PARTRIDGE, HENRY ROY (MSW, PHD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:ROY
Last Name:PARTRIDGE
Suffix:
Gender:M
Credentials:MSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 OLD COLONY LN
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-8656
Mailing Address - Country:US
Mailing Address - Phone:207-885-9505
Mailing Address - Fax:
Practice Address - Street 1:3 OLD COLONY LN
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-8656
Practice Address - Country:US
Practice Address - Phone:207-885-9505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-20
Last Update Date:2009-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC41871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical