Provider Demographics
NPI:1891774501
Name:BUENDIA LOBATO, MARIA DE LOURDES (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:DE LOURDES
Last Name:BUENDIA LOBATO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3271
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52244-3271
Mailing Address - Country:US
Mailing Address - Phone:319-354-0198
Mailing Address - Fax:319-354-2355
Practice Address - Street 1:220 LAFAYETTE ST STE 120
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-1709
Practice Address - Country:US
Practice Address - Phone:319-354-0198
Practice Address - Fax:319-354-2355
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA439101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA247396OtherMIDLAND'S CHOICE