Provider Demographics
NPI:1184445579
Name:ARENO, MARILOU CABRERA (SCHOOL PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:MARILOU
Middle Name:CABRERA
Last Name:ARENO
Suffix:
Gender:F
Credentials:SCHOOL PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 95
Mailing Address - Street 2:
Mailing Address - City:LAKESIDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85929-0095
Mailing Address - Country:US
Mailing Address - Phone:929-205-1960
Mailing Address - Fax:
Practice Address - Street 1:1944 OSSIE ST
Practice Address - Street 2:
Practice Address - City:LAKESIDE
Practice Address - State:AZ
Practice Address - Zip Code:85929-0095
Practice Address - Country:US
Practice Address - Phone:928-205-1960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3867877103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty