Carroll, Shelley Lynn

Carroll, Shelley Lynn is an sole proprietor health care provider with primary practice located at 349 Gregory Ave , West Orange NJ 07052-3704. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Carroll, Shelley Lynn can be contacted via phone (973) 325-1255.

Contact Information

Primary practice address
349 Gregory Ave West Orange NJ 07052-3704
Phone: (973) 325-1255
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2504 New Jersey
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2504 New Jersey

Profile Details

NPI number 1003181710
LBN Legal business name Carroll, Shelley Lynn
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2012
Last updated Mar 13th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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