Dr Kelly Condon Waggoner, PSYD - Psychologist in Hermosa Beach, CA

Dr Kelly Condon Waggoner, PSYD is a Psychologist - Clinical based in Hermosa Beach, California. Dr Kelly Condon Waggoner is licensed to practice in California (license number PSY 24570) and her current practice location is 2200 Pacific Coast Hwy Ste 215, Hermosa Beach, California. She can be reached at her office (for appointments etc.) via phone at (310) 567-0456.

NPI number for Dr Kelly Condon Waggoner is 1275867418 and her current mailing address is 2200 Pacific Coast Hwy Ste 215, Hermosa Beach, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275867418.

Contact Information

Dr Kelly Condon Waggoner, PSYD
2200 Pacific Coast Hwy Ste 215,
Hermosa Beach, CA 90254-2701
(310) 567-0456
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Kelly Condon Waggoner
GenderFemale
SpecialityPsychologist - Clinical
Location2200 Pacific Coast Hwy Ste 215, Hermosa Beach, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275867418
  • Provider Enumeration Date: 09/21/2009
  • Last Update Date: 09/29/2011

Medical Identifiers

Medical identifiers for Dr Kelly Condon Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275867418NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY 24570 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelly Condon Waggoner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kelly Condon Waggoner, PSYD
2200 Pacific Coast Hwy Ste 215,
Hermosa Beach, CA 90254-2701

Ph: (310) 567-0456
Dr Kelly Condon Waggoner, PSYD
2200 Pacific Coast Hwy Ste 215,
Hermosa Beach, CA 90254-2701

Ph: (310) 567-0456

Reviews and Comments


Psychologist in Hermosa Beach, CA

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Dr. Sarah M Riehl, PSYD
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Phone: 310-694-7780    
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Phone: 424-888-4484    

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