Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON MONIQUE MOORE, PHD
Active Sole ProprietorDR. SHANNON MONIQUE MOORE, PHD is a Clinical Psychologist healthcare provider located in JACKSON, Mississippi. NPI 1154636611 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · JACKSON, MS
Registration Details
- NPI Number
- 1154636611
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2010 (16.056600037428 yrs)
- Last Updated
- Mar 22, 2019
- License
-
55981 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1675 LAKELAND DR STE 304JACKSON, MS, 39216Browse MS providers · Browse ZIP 39216
- Phone
- 7695244578
- Fax
- 7695244630
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| DR. KEVIN DEL BEN | PHD | 1043267990 |
| MRS. JULIE A SCHUMACHER-COFFEY | PHD | 1790723294 |
| MR. THOMAS DAVID ELKIN | PHD | 1588607188 |
| PATRICIA B HOLLIDAY | PH.D. | 1396779724 |
| MS. LEILANI LANI GREENING | PHD | 1477579167 |
| STEVEN NEIL MARSH | PH.D. | 1780602060 |
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.