Individual provider · Type 1 NPI

Shannon Leah Hendrickson, PSY.D.

Clinical Psychologist · Surprise, AZ

NPI number 1629510169 Active

Practice location

15411 W Waddell Rd, Ste 102, #1096
Surprise, AZ 85379

Call (602) 492-2995 Map

Fax (623) 288-8017

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X4779 (AZ)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1629510169

Shannon Leah Hendrickson, PSY.D.'s National Provider Identifier is 1629510169, issued on Nov 15, 2016. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Surprise, AZ. The record was last updated on Aug 25, 2025.