Individual
DR. SUSAN ELIZABETH PARTRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, PH.D.
Contact information
Practice address
225 COMMERCIAL ST, PORTLAND, ME 04101-4613
(207) 761-7783
(207) 761-2605
Mailing address
225 COMMERCIAL ST, PORTLAND, ME 04101-4613
(207) 761-7783
(207) 761-2605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC1407
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011091
ANTHEM PROVIDER NUMBER
ME
Enumeration date
04/02/2007
Last updated
07/08/2007
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