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

Individual provider Clinical Psychologist · NPI 1154636611

Dr. Shannon Monique Moore, PHD is a Clinical Psychologist in Jackson, Mississippi. Practices as a sole proprietor and works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2010
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

1675 Lakeland Dr Ste 304
Jackson, MS 39216
Phone: (769) 524-4578
Fax: (769) 524-4630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1818 Albion St Ste 114, Nashville, TN 37208-2918 — (615) 327-4751

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 55981 (MS)

Record details

NPI number1154636611
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 9, 2010
Last updated in NPPESMarch 22, 2019
Mailing addressPo Box 13563, Jackson, MS 39236-3563

Other providers in Jackson