1124546254 NPI number — DR. CARMEN RAINA ABAGAIL LALONDE PSYD

Table of content: DR. CARMEN RAINA ABAGAIL LALONDE PSYD (NPI 1124546254)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124546254 NPI number — DR. CARMEN RAINA ABAGAIL LALONDE PSYD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LALONDE
Provider First Name:
CARMEN
Provider Middle Name:
RAINA ABAGAIL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PSYD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124546254
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/13/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
60 ST. CLAIR AVE EAST UNIT 704
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TORONTO
Provider Business Mailing Address State Name:
ONTARIO
Provider Business Mailing Address Postal Code:
M4T1N5
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
60 ST. CLAIR AVE EAST UNIT 704
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TORONTO
Provider Business Practice Location Address State Name:
ONTARIO
Provider Business Practice Location Address Postal Code:
M4T1N5
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
647-804-6707
Provider Business Practice Location Address Fax Number:
855-508-6670
Provider Enumeration Date:
09/09/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com