Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHAUNA M. EZELL, PHD, LCSW
ActiveDR. SHAUNA M. EZELL, PHD, LCSW is a Clinical Psychologist healthcare provider located in TYNDALL AFB, Florida. NPI 1780600858 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · TYNDALL AFB, FL
Registration Details
- NPI Number
- 1780600858
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2006 (20.043806289193 yrs)
- Last Updated
- Jan 23, 2026
- Licenses
-
7400-123 (WI)3097-57 (WI)
Practice Information
- Address
-
325TH MEDICAL GROUP340 MAGNOLIA CIRCLE, BLDG. 1465TYNDALL AFB, FL, 324035604Browse FL providers · Browse ZIP 32403
- Phone
- 8502837511
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in TYNDALL AFB, FL
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID ANTHONY SOPER | PH.D., HSPP | 1043309586 |
| DOMINIQUE D. GOUGIS | PSY.D. | 1780997130 |
| JANET MCEWAN | PH.D. | 1053677054 |
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.