Individual provider · Type 1 NPI

Shannon Taylor Egan-Mooney, PSYD

Student in an Organized Health Care Education/Training Program · Represa, CA

NPI number 1104505718 Active

Practice location

100 Prison Rd
Represa, CA 95671-3000

Call (916) 985-8610 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104505718

Shannon Taylor Egan-Mooney, PSYD's National Provider Identifier is 1104505718, issued on Jul 12, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Represa, CA. The record was last updated on Jul 12, 2023.