Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shannon Leah Hendrickson, PSYD

Individual provider Clinical Psychologist · NPI 1629510169

Dr. Shannon Leah Hendrickson, PSYD is a Clinical Psychologist in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

15411 W Waddell Rd Ste 102 #1096
Surprise, AZ 85379
Phone: (602) 492-2995
Fax: (623) 288-8017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 4779 (AZ)

Record details

NPI number1629510169
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedNovember 15, 2016
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

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