Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shannon Clark, PHD

Individual provider Psychologist · NPI 1649852930

Dr. Shannon Clark, PHD is a Psychologist in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri and Utah.

Licensed in
MO, UT
In the registry since
2021
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

7750 Clayton Rd Ste 312
Saint Louis, MO 63117-1341
Phone: (314) 866-3957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2021045663 (MO)
Psychologist Taxonomy 103T00000X · Licence 12016019-2501 (UT)

Record details

NPI number1649852930
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 26, 2021
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024
Mailing address4625 Lindell Blvd, Saint Louis, MO 63108-3725

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