Individual
CAELA MASIBHERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
340 S SCHOOL ST, LOMBARD, IL 60148-3070
(516) 630-7500
Mailing address
340 S SCHOOL ST, LOMBARD, IL 60148-3070
(630) 516-7500
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1412363
IL
Other
Enumeration date
08/18/2025
Last updated
08/25/2025
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