Provider Demographics
NPI:1902116221
Name:AGUERO, MARIA NOELIA (MS, SLP)
Entity Type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:NOELIA
Last Name:AGUERO
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 DAVENPORT AVE
Mailing Address - Street 2:APRTMENT 2 E
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-3446
Mailing Address - Country:US
Mailing Address - Phone:914-920-1539
Mailing Address - Fax:
Practice Address - Street 1:333 WESTCHESTER AVENUE
Practice Address - Street 2:WEST SUIT 202
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604
Practice Address - Country:US
Practice Address - Phone:914-328-2868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020460-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist