Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Destiny M Waggoner, PHD

Individual provider Clinical Psychologist · NPI 1235582727

Dr. Destiny M Waggoner, PHD is a Clinical Psychologist in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2016.

Licensed in
NM
In the registry since
2016
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

306 San Pablo St SE
Albuquerque, NM 87108
Phone: (505) 272-0415
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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 PSY1566 (NM)

Record details

NPI number1235582727
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 20, 2016
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023

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