Dr. Kelly Gonderman, Psy.D.
Psychologist, Clinical in Whittier, CA. Individual provider (NPI-1).
NPI number1740658657
StatusActive
Last updated in NPPESNov 19, 2023
Details
- NPI
- 1740658657
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kelly Gonderman
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2015
- Certification date
- Nov 19, 2023
- Last updated
- Nov 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 31284 | CA | Yes |
Practice location
11911 Washington BlvdWhittier, CA 90606-2607
Phone 562-698-8888 · Fax 562-698-8815
Mailing address
11911 Washington BlvdWhittier, CA 90606-2607
Phone 562-698-8888 · Fax 562-698-8815
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