Provider Demographics
NPI:1356735203
Name:KARLA D. AGUILU, PSY.D.
Entity type:Organization
Organization Name:KARLA D. AGUILU, PSY.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:D
Authorized Official - Last Name:AGUILU
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:813-875-0122
Mailing Address - Street 1:4144 N ARMENIA AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6400
Mailing Address - Country:US
Mailing Address - Phone:813-875-0122
Mailing Address - Fax:813-875-0208
Practice Address - Street 1:4144 N ARMENIA AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6400
Practice Address - Country:US
Practice Address - Phone:813-875-0122
Practice Address - Fax:813-875-0208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-27
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8538103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty