Individual provider · Type 1 NPI

Shauna M. Ezell, PhD, LCSW

Clinical Psychologist · Tyndall Afb, FL

NPI number 1780600858 Active

Practice location

325th Medical Group, 340 Magnolia Circle, Bldg. 1465
Tyndall Afb, FL 32403-5604

Mailing address

340 Magnolia Cir Bldg 1465
Tyndall Afb, FL 32403-5604

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X7400-123 (WI)
Clinical Psychologist Primary 103TC0700X3097-57 (WI)

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…

3 other providers at this address

Other clinical psychologist providers in Tyndall Afb

See all in Tyndall Afb →

About NPI 1780600858

Shauna M. Ezell, PhD, LCSW's National Provider Identifier is 1780600858, issued on Jul 14, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Tyndall Afb, FL. The record was last updated on Jan 23, 2026.