Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Carolyn B. Shadduck, PHD, PSYD

Individual provider Clinical Psychologist · NPI 1891710125

Dr. Carolyn B. Shadduck, PHD, PSYD is a Clinical Psychologist in Santa Monica, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

636 26th St
Santa Monica, CA 90402-3148
Phone: (310) 395-0436
Fax: (310) 395-1887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY4871 (CA)

Record details

NPI number1891710125
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , PSYD
Sole proprietorYes
NPI enumeratedJuly 13, 2006
Last updated in NPPESJuly 8, 2007

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