Provider Demographics
NPI:1932423985
Name:PARTRIDGE, SONIA ANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:SONIA
Middle Name:ANNE
Last Name:PARTRIDGE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 OFARRELL AVE SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-3580
Mailing Address - Country:US
Mailing Address - Phone:360-742-2196
Mailing Address - Fax:
Practice Address - Street 1:JOINT BASE LEWIS MCCHORD
Practice Address - Street 2:9040A JACKSON AVE
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98433
Practice Address - Country:US
Practice Address - Phone:350-742-2196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-19
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00003415103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical