| Doctor Name: | SHANON MARIE MOYER |
| NPI Number: | 1134272941 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCMH |
| License Number: | LC2305 |
| Business Practice Address: | 30838 Vines Creek Rd Unit 2b Dagsboro, DE - 199394385 |
| Business Phone Number: | 3024208846 |
| Business Fax Number: | |
| Mailing Address: | 761 Garfield Pkwy, BETHANY BEACH |
| State: | DE |
| Postal Code: | 199309717 |
| Phone Number: | 3024208846 |
| Fax Number: | |
| NPI Enumeration Date: | 01/18/2007 |
| NPI Last Update Date: | 09/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LC2305 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |