Individual provider · Type 1 NPI
Shavon Cherelle Moore, MD
Child & Adolescent Psychiatry Physician · San Diego, CA
NPI number
1053682773
Active
Practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Fax (888) 539-8781
Mailing address
PO Box 232410
San Diego, CA 92193-2410
Other practice locations
- 3020 Childrens Way, San Diego, CA 92123-4223 · (858) 576-1700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry Physician | 2084P0800X | A152789 (CA) |
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | A152789 (CA) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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About NPI 1053682773
Shavon Cherelle Moore, MD's National Provider Identifier is 1053682773, issued on Jan 26, 2012. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in San Diego, CA. The record was last updated on Feb 6, 2023.