Provider Demographics
NPI:1962830828
Name:GRADY, SHARI (PHD)
Entity type:Individual
Prefix:DR
First Name:SHARI
Middle Name:
Last Name:GRADY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:SHARI
Other - Middle Name:
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:7470 HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66227-2433
Mailing Address - Country:US
Mailing Address - Phone:816-204-6635
Mailing Address - Fax:
Practice Address - Street 1:8016 STATE LINE RD STE 201
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-3729
Practice Address - Country:US
Practice Address - Phone:913-549-9546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-30
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013038448101YP2500X, 101Y00000X, 101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist