Individual provider · Type 1 NPI

Sage Bradley Shaw, LMLP

Psychologist · Ottawa, KS

NPI number 1801554779 Active

Practice location

109 W 2nd St Ste A
Ottawa, KS 66067-2212

Fax (785) 242-4401

Mailing address

1953 Reno Rd
Ottawa, KS 66067-8754

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XLMLP03376 (KS)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1801554779

Sage Bradley Shaw, LMLP's National Provider Identifier is 1801554779, issued on Dec 7, 2021. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Ottawa, KS. The record was last updated on Mar 9, 2025.