Search › Missouri › 101YM0800X
Shane Anderson, MA-PLPC
NPI 1174433726 · on the registry since 2026 · sole proprietor
Practice
- Address
- 3827 S Timbercreek Ave
Springfield, MO 65807 - Phone
- (417) 507-2407
- Organisation at this address
- Imaging Miracles Lc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri