Provider Demographics
NPI:1649982687
Name:MARFORI, SHELLEY L (PSYD)
Entity type:Individual
Prefix:
First Name:SHELLEY
Middle Name:L
Last Name:MARFORI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:SHELLEY
Other - Middle Name:LYNN
Other - Last Name:MARFORI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:801 RITTENHOUSE ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1942
Mailing Address - Country:US
Mailing Address - Phone:803-466-5242
Mailing Address - Fax:
Practice Address - Street 1:801 RITTENHOUSE ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1942
Practice Address - Country:US
Practice Address - Phone:803-466-5242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-21
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY200001309103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist