Individual provider · Type 1 NPI
Kerri N. Boutelle, PhD
Clinical Psychologist · La Jolla, CA
Practice location
9500 Gilman Drive Mc 0985, University Of California San Diego
La Jolla, CA 92093
Fax (858) 534-6727
Mailing address
PO Box 232410
San Diego, CA 92193-2410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PSY21823 (CA) |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY21823 (CA) |
Clinical Psychologist: 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 discip…
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About NPI 1780620906
Kerri N. Boutelle, PhD's National Provider Identifier is 1780620906, issued on Jun 22, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in La Jolla, CA. The record was last updated on Jul 22, 2019.