Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAGE BRADLEY SHAW, LMLP
Active Sole ProprietorSAGE BRADLEY SHAW, LMLP is a Psychologist healthcare provider located in OTTAWA, Kansas. NPI 1801554779 is currently active in the NPPES registry. Verify at CMS.
Psychologist · OTTAWA, KS
Registration Details
- NPI Number
- 1801554779
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2021 (4.649284945392 yrs)
- Last Updated
- Mar 9, 2025
- License
-
LMLP03376 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
109 W 2ND ST STE AOTTAWA, KS, 660672212Browse KS providers · Browse ZIP 66067
- Phone
- 7852422991
- Fax
- 7852424401
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in OTTAWA, KS
| Name | Credential | NPI |
|---|---|---|
| JOSHUA D HYPSE | PSYD | 1033585922 |
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.