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

Individual provider Clinical Psychologist · NPI 1275867418

Dr. Kelly Condon Waggoner, PSYD is a Clinical Psychologist in Hermosa Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2200 Pacific Coast Hwy Ste 215
Hermosa Beach, CA 90254-2701
Phone: (310) 567-0456
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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 PSY 24570 (CA)

Record details

NPI number1275867418
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedSeptember 21, 2009
Last updated in NPPESSeptember 29, 2011

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