Individual
SHAWN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8629 BLUEJACKET ST, SUITE 102, LENEXA, KS 66214-1604
(913) 677-0500
(913) 677-5243
Mailing address
PO BOX 674, SHAWNEE MISSION, KS 66201-0674
(913) 248-9693
(913) 248-9383
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1053
KS
Other
Enumeration date
04/26/2006
Last updated
03/22/2010
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