DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAWNA DONISE MOORE, PSYD, LPC, BCBA

Active Sole Proprietor

Counselor · STILLWATER, OK

Registration Details

NPI Number
1033409099
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2011 (15.056470605713 yrs)
Last Updated
Feb 26, 2020
Licenses
1-15017996 (OK)
4885 (OK)
Sole Proprietor
Yes

Practice Information

Address
614 S MAIN ST
STILLWATER, OK, 740744059
Browse OK providers · Browse ZIP 74074
Phone
4058243408
Fax
4055640062
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Counselor

Other Counselor Providers in STILLWATER, OK

Name Credential NPI
DENNIS G ADKINS 1376562066
ALISHA DAWN BIGHEART MS 1275642340
STEPHEN KYLE HICKS BS CMD BHRS 1417160276
MRS. ROXANNA RAE CONNER B.S., C.M.-D,BHRS 1093928574
JANET KATHLEEN FULTZ LPC 1639384571
LACEE DESHAY HARP 1841495280
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.