Most Relevant Information
Provider Data
| NPI Number: | 1003318155 |
| Provider Name: | SHELLEY DRISCOLL |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 41YS00649200 |
Most Important Dates
| Enumeration Date: | 03/05/2018 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
43 ELIZABETH ST
PEMBERTON
NJ
080681232
Practice Location Phone/Fax
| Phone: | 6093160195 |
| Fax: | 6093531549 |
Provider Mailing Location
43 ELIZABETH ST
PEMBERTON
NJ
080681232
Provider Mailing Phone/Fax
| Phone: | 6093160195 |
| Fax: | 6093531549 |