Provider Demographics
NPI:1982773289
Name:MAURER, CANDIDA (PHD LMT CHTP)
Entity Type:Individual
Prefix:DR
First Name:CANDIDA
Middle Name:
Last Name:MAURER
Suffix:
Gender:F
Credentials:PHD LMT CHTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 E COLLEGE ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240
Mailing Address - Country:US
Mailing Address - Phone:319-337-3313
Mailing Address - Fax:319-337-0686
Practice Address - Street 1:221 E COLLEGE ST
Practice Address - Street 2:SUITE 211
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240
Practice Address - Country:US
Practice Address - Phone:319-337-3313
Practice Address - Fax:319-337-0686
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00698103T00000X
IA00937225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA22784OtherWELLMARK BCBS