Shelley Lynn Carroll
Psychologist Clinical Psychologist
349 Gregory Ave
West Orange
, New Jersey 07052-3704
Shelley Lynn Carroll
Psychologist Clinical Psychologist
349 Gregory Ave
West Orange
, New Jersey 07052-3704
(973) 325-1255
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About
Features
Specialties
- Psychologist
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Shelley Lynn Carroll
- 349 Gregory Ave
- West Orange, NJ
- Zip : 07052-3704
- Phone : (973) 325-1255
Second Address
- Shelley Lynn Carroll
- 349 Gregory Ave
- West Orange, NJ
- Zip : 07052-3704
- Phone : (973) 325-1255
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | 2504 | NJ |
| N | 103T00000X | Psychologist | 2504 | NJ |
| Y | 103G00000X | Clinical Psychologist | 2504 | NJ |
| Y | 103TC0700X | Clinical Psychologist | 2504 | NJ |
National Provider Identifier
| NPI | 1003181710 |
|---|---|
| Provider Name | Shelley Lynn Carroll |
| First Address | West Orange, NJ 07052-3704 |
| Second Address | West Orange, NJ 07052-3704 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/03/2012 |
| Last Update Date | 13/03/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.