| Doctor Name: | MRS. SHANNON KAY MOYER |
| NPI Number: | 1053486340 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MC, MFT |
| License Number: | 0084291 |
| Business Practice Address: | 1213 Old Slate Hill Rd Camp Hill, PA - 170117721 |
| Business Phone Number: | 7177958560 |
| Business Fax Number: | |
| Mailing Address: | Po Box 352, BOILING SPRINGS |
| State: | PA |
| Postal Code: | 170070352 |
| Phone Number: | 7177958560 |
| Fax Number: | |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 03/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0084291 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |