DR. KELLY WAGGONER, PSY.D.

Psychologist - Clinical

Active Individual
NPI: 1275867418

Practice Address

2200 PACIFIC COAST HWY STE 215
Hermosa Beach, CA 90254

Phone: (310) 567-0456

Specialties

Specialty Code Primary License
Psychologist - Clinical 103TC0700X Yes PSY 24570 (CA)

Frequently Asked Questions

NPI 1275867418 is the National Provider Identifier for DR. KELLY WAGGONER, PSY.D., a Psychologist - Clinical provider located in Hermosa Beach, CA. This NPI was enumerated on September 21, 2009.
DR. KELLY WAGGONER, PSY.D. practices at 2200 PACIFIC COAST HWY STE 215, Hermosa Beach, CA 90254.

Quick Facts

NPI
1275867418
Type
Individual
Enumerated
Sep 21, 2009
Last Updated
Sep 29, 2011

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