DR. Shannon Taylor Egan-Mooney, PSYD

NPI #1104505718 in Represa, California

Provider Information

NPI Number: 1104505718
Entity Type: Individual
Name: DR. Shannon Taylor Egan-Mooney, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: PSYD
Enumeration Date: Jul 12, 2023
Last Updated: Jul 12, 2023

Practice Location

Address: 100 PRISON RD
City: Represa
State: California
ZIP Code: 95671-3000
Phone: (916) 985-8610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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