Individual provider · Type 1 NPI
Kelly Condon Waggoner, PSY.D.
Clinical Psychologist · Hermosa Beach, CA
Practice location
2200 Pacific Coast Hwy Ste 215
Hermosa Beach, CA 90254-2701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PSY 24570 (CA) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1275867418
Kelly Condon Waggoner, PSY.D.'s National Provider Identifier is 1275867418, issued on Sep 21, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Hermosa Beach, CA. The record was last updated on Sep 29, 2011.