NPI 1053234450
Shane Moore, LCPCC
Practice location
- Address
- 4 Scammon St STE 19-305, Saco, ME 04072-5121
- Phone
- (617) 657-9460
- Mailing address
- 4 Scamman St Suite 19-305, Saco, ME 04072-5121
Registered specialties
Professional Counselor
Primary
Registry record
- NPI
- 1053234450
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Aug 2026
- Record last updated
- 3 Aug 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.