Provider Demographics
NPI:1942832290
Name:LALONDE, SUZANNE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:
Last Name:LALONDE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:606 JOHNSON AVE STE 27
Mailing Address - Street 2:
Mailing Address - City:BOHEMIA
Mailing Address - State:NY
Mailing Address - Zip Code:11716-2688
Mailing Address - Country:US
Mailing Address - Phone:631-364-9333
Mailing Address - Fax:
Practice Address - Street 1:606 JOHNSON AVE STE 27
Practice Address - Street 2:
Practice Address - City:BOHEMIA
Practice Address - State:NY
Practice Address - Zip Code:11716-2688
Practice Address - Country:US
Practice Address - Phone:631-364-9333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-05
Last Update Date:2024-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010154-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health