Individual provider · Type 1 NPI

Shannon Monique Moore, PhD

Clinical Psychologist · Jackson, MS

NPI number 1154636611 Active

Practice location

1675 Lakeland Dr Ste 304
Jackson, MS 39216

Fax (769) 524-4630

Mailing address

PO Box 13563
Jackson, MS 39236-3563

Other practice locations

  • 1818 Albion St Ste 114, Nashville, TN 37208-2918 · (615) 327-4751

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X55981 (MS)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1154636611

Shannon Monique Moore, PhD's National Provider Identifier is 1154636611, issued on Aug 9, 2010. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Jackson, MS. The record was last updated on Mar 22, 2019.