Mariela Aguilera, ED.D.

Individual provider Active NPI School Psychologist · Chicago, IL

NPI 1386019487 · NPPES record last updated Nov 15, 2021

Key facts

NPI
1386019487
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
Practice address
42 W Madison St
Chicago, IL 60602-4309
Phone
(773) 553-1800
NPI assigned
Dec 1, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
School Psychologist 103TS0200X Yes

Addresses

Primary practice location

42 W Madison St
Chicago, IL 60602-4309

Mailing address

42 W Madison St
Chicago, IL 60602-4309
Phone (773) 553-1800

Other identifiers

IdentifierTypeStateIssuer
2354912OtherILISBE

Other providers in Chicago, IL

All providers in Chicago, IL · School Psychologist in Illinois

Sources for this page

Verify at the official NPI Registry.