| Doctor Name: | LYNN SHELL |
| NPI Number: | 1194989517 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHCNS-BC |
| License Number: | 26NJ00164600 |
| Business Practice Address: | 3000 Essex Rd Tinton Falls, NJ - 077532631 |
| Business Phone Number: | 7326432070 |
| Business Fax Number: | |
| Mailing Address: | 5525 Research Park Dr, 4th Floor BALTIMORE |
| State: | MD |
| Postal Code: | 212284664 |
| Phone Number: | 4104022258 |
| Fax Number: | 4102047279 |
| NPI Enumeration Date: | 07/15/2008 |
| NPI Last Update Date: | 04/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 26NJ00164600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |