Provider Demographics
NPI:1619386240
Name:PARTRIDGE, REBECCA (PHD, LMFT-S)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:
Last Name:PARTRIDGE
Suffix:
Gender:F
Credentials:PHD, LMFT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 PORTER RD
Mailing Address - Street 2:
Mailing Address - City:BARTONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-8229
Mailing Address - Country:US
Mailing Address - Phone:940-448-0769
Mailing Address - Fax:
Practice Address - Street 1:875 PORTER RD
Practice Address - Street 2:
Practice Address - City:BARTONVILLE
Practice Address - State:TX
Practice Address - Zip Code:76226-8229
Practice Address - Country:US
Practice Address - Phone:940-448-0769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-07
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG60413159106H00000X
TX202939106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty