Provider Demographics
NPI:1457729832
Name:CARTAYA CLINIC IN HUMANISTIC AND BEHAVIORAL PSYCHOLOGY, PLLC
Entity Type:Organization
Organization Name:CARTAYA CLINIC IN HUMANISTIC AND BEHAVIORAL PSYCHOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:LYNN ARGUELLO
Authorized Official - Last Name:ROMERO CARTAYA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:319-338-5190
Mailing Address - Street 1:221 E COLLEGE ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-1699
Mailing Address - Country:US
Mailing Address - Phone:319-338-5190
Mailing Address - Fax:
Practice Address - Street 1:221 E COLLEGE ST
Practice Address - Street 2:SUITE 212
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-1699
Practice Address - Country:US
Practice Address - Phone:319-338-5190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-02
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001344261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health