Provider Demographics
NPI:1467996256
Name:SHELLY ORLOWSKY, PSY.D., P.A.
Entity Type:Organization
Organization Name:SHELLY ORLOWSKY, PSY.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ORLOWSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-704-8544
Mailing Address - Street 1:415 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-2418
Mailing Address - Country:US
Mailing Address - Phone:786-704-8544
Mailing Address - Fax:
Practice Address - Street 1:4770 BISCAYNE BLVD STE 780
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-3232
Practice Address - Country:US
Practice Address - Phone:786-704-8544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7286103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty