Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY CONDON WAGGONER, PSY.D.
Active Sole ProprietorDR. KELLY CONDON WAGGONER, PSY.D. is a Clinical Psychologist healthcare provider located in HERMOSA BEACH, California. NPI 1275867418 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · HERMOSA BEACH, CA
Registration Details
- NPI Number
- 1275867418
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 21, 2009 (16.714998768821 yrs)
- Last Updated
- Sep 29, 2011
- License
-
PSY 24570 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2200 PACIFIC COAST HWY STE 215HERMOSA BEACH, CA, 902542701Browse CA providers · Browse ZIP 90254
- Phone
- 3105670456
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in HERMOSA BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| DR. CAROL G WEISS | PHD | 1326031683 |
| DR. BOBBIE Z LESSER | PHD | 1003843996 |
| DR. PATRICIA BALTAZAR | PHD | 1336174507 |
| DR. STEVEN B FRIEDMAN | PH.D. | 1477565372 |
| DR. LUCY CASWELL PAPILLON | PHD | 1962508820 |
| DR. ALANN D DINGLE | PH.D. | 1881772390 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.