Individual provider · Type 1 NPI

Shannon Moore

Clinical Psychologist · San Diego, CA

NPI number 1386095453 Active

Practice location

480 Alta Rd
San Diego, CA 92179-0001

Call (619) 661-6500 Map

Mailing address

PO Box 12641
La Jolla, CA 92039-2641

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY20947 (CA)

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 1386095453

Shannon Moore's National Provider Identifier is 1386095453, issued on Jun 29, 2016. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Diego, CA. The record was last updated on Jun 29, 2016.