| Sage Bradley Shaw, LMLP-T | |
|
109 W 2nd St Ste A, Ottawa, KS 66067-2212 | |
| (785) 242-2991 | |
| (785) 242-4401 |
| Full Name | Sage Bradley Shaw |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 109 W 2nd St Ste A, Ottawa, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801554779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 03100-T (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Bradley Shaw, LMLP-T 1953 Reno Rd, Ottawa, KS 66067-8754 Ph: (785) 214-9338 | Sage Bradley Shaw, LMLP-T 109 W 2nd St Ste A, Ottawa, KS 66067-2212 Ph: (785) 242-2991 |
Joshua D Hypse, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067 Phone: 785-242-3780 Fax: 785-242-6397 | |
Dana Rene' Paquette, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 204 E 15th St, Ottawa, KS 66067 Phone: 785-242-2183 | |
Charles Patrick Garrick, LCP. LCAC, TTS Psychologist Medicare: Medicare Enrolled Practice Location: 1121 N Cedar St, Ottawa, KS 66067 Phone: 803-599-0129 | |
Andrew Lawrence Whitmore, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067 Phone: 785-242-3780 Fax: 785-242-6397 | |
Jennifer L L'heureux, LMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 204 E 15th St, Ottawa, KS 66067 Phone: 785-242-2183 Fax: 785-242-1859 |