| Dr Shauna M Ezell, PHD, LCSW | |
|
325th Medical Group, 340 Magnolia Circle, Bldg. 1465, Tyndall Afb, FL 32403-5604 | |
| (850) 283-7511 | |
| Not Available |
| Full Name | Dr Shauna M Ezell |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 325th Medical Group, Tyndall Afb, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780600858 | NPI | - | NPPES |
| 524139100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7400-123 (Wisconsin) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3097-57 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shauna M Ezell, PHD, LCSW 325 Medical Group, 340 Magnolia Circle, Bldg 1465, Tyndall Afb, FL 32403-5604 Ph: (850) 283-7370 | Dr Shauna M Ezell, PHD, LCSW 325th Medical Group, 340 Magnolia Circle, Bldg. 1465, Tyndall Afb, FL 32403-5604 Ph: (850) 283-7511 |
Dr. David Anthony Soper, PH.D., HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 340 Magnolia Cir, Tyndall Afb, FL 32403 Phone: 850-283-7511 | |
Janet Mcewan, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 340 Magnolia Cir, Tyndall Afb, FL 32403 Phone: 850-283-7511 | |
Dr. Mara Sturk, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 340 Magnolia Cir, Tyndall Afb, FL 32403 Phone: 850-283-7511 | |
Dr. Rebecca Morris-davis, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 340 Magnolia Cir Bldg 1404, Tyndall Afb, FL 32403 Phone: 850-283-7198 | |
Dominique D. Gougis, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 Phone: 850-283-7511 | |
Bethany Young, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 Phone: 850-283-7511 |