Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CAROLYN B. SHADDUCK, PH.D., PSY.D.

Active Sole Proprietor

Clinical Psychologist · SANTA MONICA, CA

Registration Details

NPI Number: 1891710125
Provider Type: Individual
Gender: Female
NPI Issued: Jul 13, 2006 (19.837444169242 yrs)
Last Updated: Jul 8, 2007
License: PSY4871 (CA)
Sole Proprietor: Yes

Practice Information

Address: 636 26TH ST

SANTA MONICA, CA, 904023148
Browse CA providers · Browse ZIP 90402
Phone: 3103950436
Fax: 3103951887
Primary Specialty: Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in SANTA MONICA, CA

Name	Credential	NPI
DR. ELAYNE ROSOFF	PH.D.	1124014477
DR. MICHAEL DAVID GREENWALD	PH.D.	1104814706
DR. PAUL A BOYLE	PH.D.	1962455246
DR. MARIANN HYBELS MILLER	PH.D.	1205860830
DR. WILLIAM MILLER	PH.D.	1437170248
ABBY J KESDEN	PSY.D.	1942224787

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.