Most Relevant Information
Provider Data
| NPI Number: | 1003181710 |
| Provider Name: | SHELLEY LYNN CARROLL PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 2504 |
Most Important Dates
| Enumeration Date: | 03/13/2012 |
| Last Updated: | 03/13/2012 |
Provider Practice Location
349 GREGORY AVE
WEST ORANGE
NJ
070523704
Practice Location Phone/Fax
| Phone: | 9733251255 |
| Fax: |
Provider Mailing Location
349 GREGORY AVE
WEST ORANGE
NJ
070523704
Provider Mailing Phone/Fax
| Phone: | 9733251255 |
| Fax: |