NPI 1003181710

Shelley Lynn Carroll, PHD

Practitioner Clinical Psychologist West Orange, NJ

Practice location

Address: 349 Gregory Ave, West Orange, NJ 07052-3704
Phone: (973) 325-1255

Registered specialties (2)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 2504 (NJ)

Other Psychologist providers in New Jersey →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 2504 (NJ)

Registry record

NPI: 1003181710
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Mar 2012
Record last updated: 13 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.