Provider Demographics
NPI:1225736523
Name:MUNOZ, MARIA LOURDES (PPSC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:LOURDES
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:PPSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 N HALF MOON DR APT B
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-5985
Mailing Address - Country:US
Mailing Address - Phone:661-330-9971
Mailing Address - Fax:
Practice Address - Street 1:1300 17TH ST CITY CENTRE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-4533
Practice Address - Country:US
Practice Address - Phone:661-636-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool