Provider Demographics
NPI:1841512878
Name:BARRAL, MYRLINDA VILLARIVERA (MD)
Entity type:Individual
Prefix:
First Name:MYRLINDA
Middle Name:VILLARIVERA
Last Name:BARRAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 COLLEGIATE DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:N7L 4R1
Mailing Address - Country:CA
Mailing Address - Phone:519-359-6625
Mailing Address - Fax:519-351-0450
Practice Address - Street 1:CKHA, 80 GRAND AVENUE WEST
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:ONTARIO
Practice Address - Zip Code:N7L 1B7
Practice Address - Country:CA
Practice Address - Phone:519-351-6144
Practice Address - Fax:519-351-0450
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME105242084P0800X
ZZ633022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry