| Doctor Name: | DR. SHIRLEY MATTHEWS |
| NPI Number: | 1235478389 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 016301 |
| Business Practice Address: | 4 W South Orange Ave Third Floor South Orange, NJ - 070794704 |
| Business Phone Number: | 9735183406 |
| Business Fax Number: | |
| Mailing Address: | 85 Hudson Ave, MAPLEWOOD |
| State: | NJ |
| Postal Code: | 070401402 |
| Phone Number: | 9733788348 |
| Fax Number: | |
| NPI Enumeration Date: | 02/10/2013 |
| NPI Last Update Date: | 02/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 016301 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |