DR. RONALD BOUTELLE, PHD, PSYD

Psychologist

Active Individual
NPI: 1316983562

Practice Address

12304 SANTA MONICA BLVD
SUITE 106
Los Angeles, CA 90025

Phone: (310) 317-6784

Specialties

Specialty Code Primary License
Psychologist - Clinical 103TC0700X No PSY10792 (CA)
Psychologist - Psychoanalysis 103TP0814X No PSY10792 (CA)
Psychologist 103T00000X Yes PSY10792 (CA)

Frequently Asked Questions

NPI 1316983562 is the National Provider Identifier for DR. RONALD BOUTELLE, PHD, PSYD, a Psychologist provider located in Los Angeles, CA. This NPI was enumerated on June 22, 2006.
DR. RONALD BOUTELLE, PHD, PSYD practices at 12304 SANTA MONICA BLVD, SUITE 106, Los Angeles, CA 90025.

Quick Facts

NPI
1316983562
Type
Individual
Enumerated
Jun 22, 2006
Last Updated
Sep 11, 2025

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