Individual
DR. MICHAEL SHAWN MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1000 E 24TH ST UNIT 2C, KANSAS CITY, MO 64108-2776
(816) 404-3710
(816) 404-3611
Mailing address
PO BOX 576, WARRENSBURG, MO 64093-0576
(888) 409-9303
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2007033941
MO
103TC0700X
Clinical Psychologist
2007033941
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497300806
—
MO
Enumeration date
07/06/2007
Last updated
12/22/2020
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