Shannon Victoria Moore, PHD - Psychologist in Vacaville, CA

Shannon Victoria Moore, PHD is a Psychologist - Clinical based in Vacaville, California. Shannon Victoria Moore is licensed to practice in California (license number 33838) and her current practice location is 1 Quality Dr, Vacaville, California. She can be reached at her office (for appointments etc.) via phone at (707) 624-2830.

NPI number for Shannon Victoria Moore is 1639881253 and her current mailing address is 3438 1st Ave, Sacramento, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639881253.

Contact Information

Shannon Victoria Moore, PHD
1 Quality Dr,
Vacaville, CA 95688-9494
(707) 624-2830
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShannon Victoria Moore
GenderFemale
SpecialityPsychologist - Clinical
Location1 Quality Dr, Vacaville, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1639881253
  • Provider Enumeration Date: 12/14/2022
  • Last Update Date: 12/14/2022

Medical Identifiers

Medical identifiers for Shannon Victoria Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639881253NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 33838 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Victoria Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon Victoria Moore, PHD
3438 1st Ave,
Sacramento, CA 95817-2015

Ph: (908) 963-6776
Shannon Victoria Moore, PHD
1 Quality Dr,
Vacaville, CA 95688-9494

Ph: (707) 624-2830

Reviews and Comments


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