Provider Demographics
NPI:1538230917
Name:RIGUAL-LYNCH, LOURDES (PHD)
Entity type:Individual
Prefix:
First Name:LOURDES
Middle Name:
Last Name:RIGUAL-LYNCH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 E 84TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-4405
Mailing Address - Country:US
Mailing Address - Phone:212-535-5221
Mailing Address - Fax:212-535-7699
Practice Address - Street 1:THE N.Y CHILDREN' HEALTH PROJ.
Practice Address - Street 2:317 E. 64TH STREET
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-535-5221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006737103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent