| Dr Shana Danderson, PSYD, LP | |
|
560 W Mount Vernon St, Nixa, MO 65714-9681 | |
| (417) 413-1593 | |
| Not Available |
| Full Name | Dr Shana Danderson |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 10 Years |
| Location | 560 W Mount Vernon St, Nixa, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144692922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2015037034 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Burrell, Inc. | 4486548625 | 190 |
| Entity Name | Burrell, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275541740 PECOS PAC ID: 4486548625 Enrollment ID: O20040210000372 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shana Danderson, PSYD, LP 2885 W Battlefield St Ste 203, Springfield, MO 65807-3952 Ph: (417) 761-5214 | Dr Shana Danderson, PSYD, LP 560 W Mount Vernon St, Nixa, MO 65714-9681 Ph: (417) 413-1593 |
Dr. Christopher M Ward, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1868 N Commerce Dr, Nixa, MO 65714 Phone: 417-501-6867 Fax: 417-374-0047 | |
Dr. Steven Alan Gritzmacher, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 214 Village Center St, B, Nixa, MO 65714 Phone: 417-725-8922 Fax: 417-725-8983 | |
Elizabeth Renee Wilcox, ED.S. NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 301 S Main St, Nixa, MO 65714 Phone: 417-449-3117 | |
Dr. Alise Elizabeth Gray, PSY.D, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 402b W Mount Vernon St, #337, Nixa, MO 65714 Phone: 660-492-0635 | |
Bryce Taylor Gray, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 402b W Mount Vernon St, #337, Nixa, MO 65714 Phone: 660-492-0635 | |
Dr. Marissa L Casey, PSYD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1868 N Commerce Dr, Nixa, MO 65714 Phone: 417-394-5900 |