Provider Demographics
NPI:1245395508
Name:CAMHI, SHELBY ALLYN (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:ALLYN
Last Name:CAMHI
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CONSTITUTION CT
Mailing Address - Street 2:#301
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5588
Mailing Address - Country:US
Mailing Address - Phone:201-386-0344
Mailing Address - Fax:
Practice Address - Street 1:661 E PALISADE AVE
Practice Address - Street 2:SUITE A4
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-1800
Practice Address - Country:US
Practice Address - Phone:201-567-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00423800235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist