Individual
SHANNON BROOKE UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-6400
Mailing address
5315 WALMER ST, MISSION, KS 66202-1613
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP03501T
KS
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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