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Dr. Carolyn B. Shadduck, PHD,PSYD
Clinical Psychologist in Santa Monica, California
NPI 1891710125

Carolyn B. Shadduck is a Clinical Psychologist based in Santa Monica, CA and is specialized in Clinical. Carolyn B. Shadduck practices in Santa Monica, CA and has the professional credentials of PHD,PSYD. The NPI Number for Carolyn B. Shadduck is 1891710125 and holds a License No. PSY4871 (California).

The current practice location address for Carolyn B. Shadduck is 636 26Th St, Santa Monica, CA and can be reached out via phone at 310-395-0436 and via fax at 310-395-1887. You can also correspond with Carolyn B. Shadduck through the mailing address at 636 26TH ST, SANTA MONICA, CA - 90402-3148 (mailing address contact number: 310-395-0436).

Location: 636 26Th St, Santa Monica, CA, 90402-3148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891710125
Provider Name
Carolyn B. Shadduck
Credential
PHD,PSYD
Provider Entity Type
Individual
Gender
Female
Address
636 26Th St, Santa Monica, CA, 90402-3148
Phone Number
310-395-0436
Fax Number
310-395-1887
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PSY4871 01 CA LICENSE AS A PSYCHOLOGIST
institution
Provider Business Practice Location Address Details
Address
636 26Th St
City
Santa Monica
State
California
Zip
90402-3148
Phone Number
310-395-0436
Fax Number
310-395-1887
person
Provider Business Mailing Address Details
Address
636 26Th St
City
Santa Monica
State
California
Zip
90402-3148
Phone Number
310-395-0436
Fax Number
310-395-1887
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY4871 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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