Individual provider · Type 1 NPI

Carolyn B. Shadduck, PhD, PSY.D.

Clinical Psychologist · Santa Monica, CA

NPI number 1891710125 Active

Practice location

636 26th St
Santa Monica, CA 90402-3148

Call (310) 395-0436 Map

Fax (310) 395-1887

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY4871 (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 1891710125

Carolyn B. Shadduck, PhD, PSY.D.'s National Provider Identifier is 1891710125, issued on Jul 13, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Santa Monica, CA. The record was last updated on Jul 8, 2007.