Individual provider · Type 1 NPI

Kathleen J. Waddell, PhD

Clinical Psychologist · San Luis Obispo, CA

NPI number 1285629329 Active

Practice location

1521 Higuera St, Ste E
San Luis Obispo, CA 93401-2958

Fax (805) 542-0302

Mailing address

815 Skyline Dr
San Luis Obispo, CA 93405-1053

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY5636 (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 1285629329

Kathleen J. Waddell, PhD's National Provider Identifier is 1285629329, issued on Sep 14, 2005. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jul 13, 2026.