Individual provider · Type 1 NPI

Jacqueline Butler, PhD

Psychologist · La Mesa, CA

NPI number 1023120177 Active

Practice location

4700 Spring St, Suite 204
La Mesa, CA 91941-5263

Fax (619) 644-5751

Mailing address

4180 Marian St
La Mesa, CA 91941-7426

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XP1690 (TN)
Psychologist Primary 103T00000XPSY19513 (CA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1023120177

Jacqueline Butler, PhD's National Provider Identifier is 1023120177, issued on Aug 31, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in La Mesa, CA. The record was last updated on Jul 8, 2007.