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

Shannon Moore

Individual provider Clinical Psychologist · NPI 1386095453

Shannon Moore is a Clinical Psychologist in San Diego, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

480 Alta Rd
San Diego, CA 92179-0001
Phone: (619) 661-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY20947 (CA)

Record details

NPI number1386095453
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 29, 2016
Last updated in NPPESJune 29, 2016

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