| Doctor Name: | DR. KATHRYN KIM WAGGONER |
| NPI Number: | 1316188121 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D., ABPP |
| License Number: | 1577 |
| Business Practice Address: | 2200 Bergquist Dr Suite 1 Jbsa Lackland, TX - 782369907 |
| Business Phone Number: | 2103959130 |
| Business Fax Number: | |
| Mailing Address: | 2261 Hughes Ave, Suite 162 JBSA LACKLAND |
| State: | TX |
| Postal Code: | 782369800 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2009 |
| NPI Last Update Date: | 02/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TH0004X |
| License Number: | 1577 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Health |
| Taxonomy Definition: | The distinct focus of the clinical health psychologist is on physical health problems. A clinical health psychologist has special expertise or training in clinical health psychology and applies scientific knowledge of the interrelationships among behavioral, emotional, cognitive, social and biological components in health and disease to the promotion and maintenance of health; the prevention, treatment and rehabilitation of illness and disability; and the improvement of the health care system. Clinical health psychologists are dedicated to the development of knowledge regarding the interface between behavior and health, and to the delivery of high quality services based on that knowledge to individuals, families, and health care. |