Individual provider · Type 1 NPI

Michael Don Shore, PH D

Psychologist · San Francisco, CA

NPI number 1063526192 Active

Practice location

1947 Divisadero St, Suite 5
San Francisco, CA 94115

Call (415) 751-0316 Map

Mailing address

107 14th Avenue
San Francisco, CA 94118

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist 103G00000XPSY 6837 (CA)
Psychologist Primary 103T00000XPSY 6837 (CA)

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 1063526192

Michael Don Shore, PH D's National Provider Identifier is 1063526192, issued on Aug 18, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in San Francisco, CA. The record was last updated on Sep 11, 2025.