Provider Demographics
NPI:1669895843
Name:ORLOWSKY, SHELLY (PSYD)
Entity type:Individual
Prefix:DR
First Name:SHELLY
Middle Name:
Last Name:ORLOWSKY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:786-423-7751
Mailing Address - Fax:
Practice Address - Street 1:4770 BISCAYNE BLVD
Practice Address - Street 2:SUITE 1440
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-3202
Practice Address - Country:US
Practice Address - Phone:786-704-8544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-24
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7286103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist