Individual
DR. KATHRYN KIM WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., ABPP
Contact information
Practice address
2112 BIENVILLE BLVD STE K, OCEAN SPRINGS, MS 39564-3067
(228) 819-2171
(228) 205-4986
Mailing address
2112 BIENVILLE BLVD STE K, OCEAN SPRINGS, MS 39564-3067
(228) 819-2171
(833) 779-1879
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
1577
AL
103TH0004X
Health Psychologist
Primary
591032
MS
Other
Enumeration date
03/09/2009
Last updated
06/10/2024
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