Individual
SHIRI H SELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
8004 LINCOLN DR W, SUITE D, MARLTON, NJ 08053-3213
(609) 682-3115
Mailing address
8004 LINCOLN DR W, SUITE D, MARLTON, NJ 08053-3213
(609) 682-3115
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4824
NJ
103T00000X
Psychologist
PS016789
PA
Other
Enumeration date
01/14/2011
Last updated
12/04/2013
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