Individual provider · Type 1 NPI

Medria Lou Connolly, PhD

Clinical Child & Adolescent Psychologist · Santa Monica, CA

NPI number 1164540316 Active

Practice location

2444 Wilshire Blvd, Suite 500
Santa Monica, CA 90403-5808

Fax (310) 264-2601

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist	103TC0700X	PSY9977 (CA)
Clinical Child & Adolescent Psychologist Primary	103TC2200X	PSY9977 (CA)
Psychologist	103T00000X	PSY9977 (CA)

Clinical Child & Adolescent Psychologist: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, …

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About NPI 1164540316

Medria Lou Connolly, PhD's National Provider Identifier is 1164540316, issued on Mar 26, 2007. The primary taxonomy on file is Clinical Child & Adolescent Psychologist (103TC2200X), and the practice location is in Santa Monica, CA. The record was last updated on Sep 11, 2025.