Provider Demographics
NPI:1760644793
Name:DYNAN, SHEILA J (LCSW)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:J
Last Name:DYNAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 LINDSLEY DR
Mailing Address - Street 2:SUITE 100 - ATTN C LAMPRON
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-4455
Mailing Address - Country:US
Mailing Address - Phone:973-451-0246
Mailing Address - Fax:973-451-0166
Practice Address - Street 1:100 MADISON AVENUE
Practice Address - Street 2:MORRISTOWN MEMORIAL HOSPITAL - CIS
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07962-1958
Practice Address - Country:US
Practice Address - Phone:973-971-5402
Practice Address - Fax:973-451-0166
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC051885001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical