Provider Demographics
NPI:1083369615
Name:MARTINEZ LOBATO, JULIE
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:MARTINEZ LOBATO
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 1:95 3RD ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-3103
Mailing Address - Country:US
Mailing Address - Phone:415-813-2204
Mailing Address - Fax:
Practice Address - Street 1:38 BEVERLY DR
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-2302
Practice Address - Country:US
Practice Address - Phone:831-840-3526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-11
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health