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

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