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Dr. Shauna M. Ezell, PHD,LCSW
Clinical Psychologist in Tyndall Afb, Florida
NPI 1780600858

Shauna M. Ezell is a Clinical Psychologist based in Tyndall Afb, FL and is specialized in Clinical. Shauna M. Ezell practices in Tyndall Afb, FL and has the professional credentials of PHD,LCSW. The NPI Number for Shauna M. Ezell is 1780600858 and holds a License No. 7400-123 (Florida).

The current practice location address for Shauna M. Ezell is 325Th Medical Group, Tyndall Afb, FL and can be reached out via phone at 850-283-7511.

Location: 325Th Medical Group, Tyndall Afb, FL, 32403-5604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780600858
Provider Name
Shauna M. Ezell
Credential
PHD,LCSW
Provider Entity Type
Individual
Gender
Female
Address
325Th Medical Group, Tyndall Afb, FL, 32403-5604
Phone Number
850-283-7511
Fax Number
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
524139100 05 MN
institution
Provider Business Practice Location Address Details
Address
325Th Medical Group
City
Tyndall Afb
State
Florida
Zip
32403-5604
Phone Number
850-283-7511
Fax Number
person
Provider Business Mailing Address Details
Address
325Th Medical Group
City
Tyndall Afb
State
Florida
Zip
32403-5604
Phone Number
850-283-7511
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
3097-57 (Wisconsin)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
7400-123 (Wisconsin)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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