Individual
DR. SHAUNA M. EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCSW
Contact information
Practice address
325TH MEDICAL GROUP, 340 MAGNOLIA CIRCLE, BLDG. 1465, TYNDALL AFB, FL 32403-5604
(850) 283-7511
Mailing address
340 MAGNOLIA CIR BLDG 1465, TYNDALL AFB, FL 32403-5604
(850) 283-7511
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3097-57
WI
1041C0700X
Clinical Social Worker
7400-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
524139100
—
MN
Enumeration date
07/14/2006
Last updated
01/23/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us