Doctor Name: | SHIRLEY ASELLI ACOSTA |
NPI Number: | 1871882134 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS |
License Number: | |
Business Practice Address: | 770 Woodlane Rd. Mt. Holly, NJ - 080602504 |
Business Phone Number: | 8564284357 |
Business Fax Number: | |
Mailing Address: | 770 Woodlane Rd., MT. HOLLY |
State: | NJ |
Postal Code: | 080602053 |
Phone Number: | 8564281300 |
Fax Number: | |
NPI Enumeration Date: | 04/07/2011 |
NPI Last Update Date: | 01/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |