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Kelly Waggoner, PSY.D

NPI 1275867418 · on the registry since 2009 · sole proprietor

Practice

Address: 2200 Pacific Coast Hwy Ste 215
Hermosa Beach, CA 90254
Phone: (310) 567-0456
Organisation at this address: Optc,Inc
Gary G Tse Md Inc
Chelsea Fidai Md Inc
Robert E Anderson Dmd, Inc
Bassi Psychological Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 60

Registry record

Primary taxonomy: Clinical Psychologist
103TC0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-09-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California