Individual provider · Type 1 NPI
Maude Guilmette Shannon, PhD, PSYD
Psychologist · Fort Lauderdale, FL
Practice location
1624 NE 16th Ter
Fort Lauderdale, FL 33305-3410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PY12587 (FL) |
| Psychologist Primary | 103T00000X | PY12587 (FL) |
| Clinical Psychologist | 103TC0700X | PY12587 (FL) |
| Exercise & Sports Psychologist | 103TE1100X | PY12587 (FL) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1003628934
Maude Guilmette Shannon, PhD, PSYD's National Provider Identifier is 1003628934, issued on Jan 27, 2025. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jun 6, 2026.