DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANNON LEAH HENDRICKSON, PSY.D.

Active

DR. SHANNON LEAH HENDRICKSON, PSY.D. is a Clinical Psychologist healthcare provider located in SURPRISE, Arizona. NPI 1629510169 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · SURPRISE, AZ

Registration Details

NPI Number
1629510169
Provider Type
Individual
Gender
Female
NPI Issued
Nov 15, 2016 (9.7517915239118 yrs)
Last Updated
Aug 25, 2025
License
4779 (AZ)

Practice Information

Address
15411 W WADDELL RD, STE 102
#1096
SURPRISE, AZ, 85379
Browse AZ providers · Browse ZIP 85379
Phone
6024922995
Fax
6232888017
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in SURPRISE, AZ

Name Credential NPI
JAMES A LEROY PH.D. 1013985639
WALANDA WALKER SMITH PHD 1922069566
DR. GLEN M WURGLITZ PYSD, HSPP 1932144615
CHERYL JEAN HEINTZ PH.D. 1306879754
DR. SHARON LENTZ M.A., PSY.D. 1528186335
DR. SHERRIE LEE SOMERSHOE PH.D. 1164630745
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.