Provider Demographics
NPI:1326397522
Name:ALBALADEJO-TORRES, LYNETTE JOAN (MS)
Entity Type:Individual
Prefix:
First Name:LYNETTE
Middle Name:JOAN
Last Name:ALBALADEJO-TORRES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE CONFESOR JIMENEZ
Mailing Address - Street 2:# 7
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685
Mailing Address - Country:US
Mailing Address - Phone:787-370-1053
Mailing Address - Fax:
Practice Address - Street 1:CALLE CONFERSOR JIMENEZ
Practice Address - Street 2:# 7
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685
Practice Address - Country:US
Practice Address - Phone:787-370-1053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6726103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling