Individual
DR. SHANA DANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D, LP
Contact information
Practice address
560 W MOUNT VERNON ST, NIXA, MO 65714-9681
(417) 413-1593
Mailing address
2885 W BATTLEFIELD ST STE 203, SPRINGFIELD, MO 65807-3952
(417) 761-5214
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2015037034
MO
Other
Enumeration date
10/20/2015
Last updated
08/04/2025
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