Provider Demographics
NPI:1871925206
Name:ROMERO CARTAYA, JOANNA LYNN ARGUELLO (PHD)
Entity type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:LYNN ARGUELLO
Last Name:ROMERO CARTAYA
Suffix:
Gender:F
Credentials:PHD
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 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:319-354-3718
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:319-354-3718
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001344103T00000X
IA078200103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0058230Medicaid