Individual
DR. SHANNON LEAH HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
15411 W WADDELL RD, STE 102, #1096, SURPRISE, AZ 85379
(602) 492-2995
(623) 288-8017
Mailing address
15411 W WADDELL RD, STE 102, #1096, SURPRISE, AZ 85379
(602) 492-2995
(623) 288-8017
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4779
AZ
Other
Enumeration date
11/15/2016
Last updated
08/25/2025
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