Provider Demographics
NPI:1427386077
Name:LALONDE, SUZANNE MONIQUE
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:MONIQUE
Last Name:LALONDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2404 AIRLINE BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23701-2912
Mailing Address - Country:US
Mailing Address - Phone:757-488-9382
Mailing Address - Fax:
Practice Address - Street 1:2404 AIRLINE BLVD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23701-2912
Practice Address - Country:US
Practice Address - Phone:757-488-9382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor