Provider Demographics
NPI:1700012978
Name:DUNNELLS, SHEILA (PHD, ADDICTIONS)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:
Last Name:DUNNELLS
Suffix:
Gender:F
Credentials:PHD, ADDICTIONS
Other - Prefix:DR
Other - First Name:SHEILA
Other - Middle Name:A
Other - Last Name:MANGIARACINA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, ADDICTIONS
Mailing Address - Street 1:520 VICTOR ST
Mailing Address - Street 2:UNIT 43
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-6123
Mailing Address - Country:US
Mailing Address - Phone:516-567-2264
Mailing Address - Fax:201-845-5806
Practice Address - Street 1:300 MARKET ST
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-2018
Practice Address - Country:US
Practice Address - Phone:516-567-2264
Practice Address - Fax:201-845-5806
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA5491101YA0400X
PA300226101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)